NPIMap

Organization Active NPI

Decatur Vein Clinic Hobart, PC

  • Vascular Surgery Physician
  • Merrillville, IN
National Provider Identifier
1285841502
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
DECATUR VEIN CLINIC HOBART, PC
Practice address
5043 E Lincoln Hwy
Merrillville, IN 46410-5912
Phone
(219) 942-1717
Fax
(800) 591-3117
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Thomas M Whitten, MD
Title
Owner/Medical Director
Phone
(317) 218-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

5043 E Lincoln Hwy
Merrillville, IN 46410-5912

Mailing address

8925 N Meridian St
Suite 100
Indianapolis, IN 46260-2386
Phone (866) 218-4060

Other names 1

  • Decatur Vein Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3209 W Reddy Way
Bloomington, IN 47403
Phone (812) 276-1391

8925 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 218-2807

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1285841502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 N MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602386",
            "telephone_number": "866-218-4060",
            "fax_number": "800-591-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105912",
            "telephone_number": "219-942-1717",
            "fax_number": "800-591-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR VEIN CLINIC HOBART, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-218-2807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Vein Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.