Contri Medical Corporation PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01025129 Issued in IN

Legal business name

CONTRI MEDICAL CORPORATION PC

Practice address

217 West Homer Street
Michigan City, IN 46360

Phone

(219) 872-2101

Fax

(219) 878-8017

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Victor Contri

Title

MD President

Phone

(219) 872-2101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1255510244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WEST HOMER STREET",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-872-2101",
            "fax_number": "219-878-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WEST HOMER STREET",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-872-2101",
            "fax_number": "219-878-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRI MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "CONTRI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "219-872-2101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100339630B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Collazo, COTA/L
• Renee Marie Collier, O.D.
• Community Home Health Care Services, LLC
• Compass Life Indiana LLC
• Marcos Contreras
• Danielle Lashon Corley, PMHNP
• Cornerstone Caregiving East LLC
• Erica L Corradino
• CP Bartley Inc
• John Wendell Crayton, MD

• Family Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.