Ima Endoscopy Surgicenter P C

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

50003667A Issued in IN

Legal business name

IMA ENDOSCOPY SURGICENTER P C

Practice address

8895 Broadway
Merrillville, IN 46410-7037

Phone

(219) 738-2081

NPI assigned

Jul 5, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Hurwich, MD

Title

President

Phone

(219) 738-2724

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1235160938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107037",
            "telephone_number": "219-738-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107037",
            "telephone_number": "219-738-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMA ENDOSCOPY SURGICENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "HURWICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-738-2724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "IN",
            "license": "50003667A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawa B Ibikunle-Salami, FNP
• Shadia Ibrahim, LMHC
• Anita Ilic, LSW
• Illiana Surgery & Medical Center, LLC (The Orthopedics Centers, LLC)
• Rabia Ilyas
• Img Associates LLC
• Indiana Allergy and Asthma LLC
• Indiana Center for Recovery Outpatient Services LLC
• Indiana Home Care Physicians Inc
• Indiana Mobile Diagnostics LLC

• Endoscopy Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Endoscopy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.