Culver Pediatrics Center, Inc

Key facts

NPI

1295358265

Entity type

Organization (NPI type 2)

Primary specialty

Pediatrics Physician 208000000X

Legal business name

CULVER PEDIATRICS CENTER, INC

Practice address

16427 18TH Rd
Culver, IN 46511-9754

Phone

(574) 216-0414

NPI assigned

May 25, 2020

Organization subpart

No

Authorized official

Name

Dr. Noemi Adame Gamel, MD

Title

Ceo

Phone

(574) 216-0414

Practitioners 1

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

• Noemi Adame, MD Pediatrics Physician · Culver, IN · NPI 1730274556
  NPD PEDIATRICS

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 25, 2020.

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1295358265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16427 18TH RD",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465119754",
            "telephone_number": "574-216-0414",
            "fax_number": "586-315-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16427 18TH RD",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465119754",
            "telephone_number": "574-216-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER PEDIATRICS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "GAMEL",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_middle_name": "ADAME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-216-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver, IN

• Mark Alan Couts, O.D.
• Daniel R Cowell, ATC
• Culver Comm SCH Corp
• Culver Community Schools
• Culver Community Schools Corporation
• Joseph Day
• Michael F Deery, M.D.
• Dorrel Wellness LLC
• Jennifer Dorrel, DPT
• Gregory O Easterday, D.D.S.

All providers in Culver, IN · Pediatrics Physician in Indiana