Granger Village Doctor PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRANGER VILLAGE DOCTOR PC

Practice address

50740 Princess Way
Suite 600
Granger, IN 46530-4339

Phone

(574) 243-8600

Fax

(574) 243-8601

NPI assigned

Feb 19, 2008

Last updated

Jun 30, 2011By 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

Julie M. Ortega-Schmitt, MD

Title

Owner

Phone

(574) 243-8600

Specialties & licenses 1

Addresses

Other names 1

• The Granger Village Doctor, PC Other name

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1295903748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465300540",
            "telephone_number": "574-243-8600",
            "fax_number": "574-243-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50740 PRINCESS WAY",
            "address_2": "SUITE 600",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304339",
            "telephone_number": "574-243-8600",
            "fax_number": "574-243-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER VILLAGE DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ORTEGA-SCHMITT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-243-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Granger Village Doctor, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Granger, IN
• Providers in Granger, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.