Organization Active NPI

Patrick J. Sheets, M.D., Inc.

  • Family Medicine Physician
  • Crown Point, IN
National Provider Identifier
1295934784
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATRICK J. SHEETS, M.D., INC.
Practice address
9301 Connecticut Drive
Crown Point, IN 46307
Phone
(219) 756-2100
Fax
(219) 756-0423
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Mr. Hanaan R. Ansari
Title
President
Phone
(219) 796-4120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01054176A IN

Addresses

Primary practice location

9301 Connecticut Drive
Crown Point, IN 46307

Mailing address

9301 Connecticut Drive
Crown Point, IN 46307-1459
Phone (219) 756-2100

Other identifiers 2

IdentifierTypeStateIssuer
DC6351OtherINRAILROAD MEDICARE
200502790AMedicaidIN

Other names 1

  • Patrick J. Sheets, M.D., P.C Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1295934784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DRIVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071459",
            "telephone_number": "219-756-2100",
            "fax_number": "219-756-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CONNECTICUT DRIVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-756-2100",
            "fax_number": "219-756-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. SHEETS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "HANAAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-796-4120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054176A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6351",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200502790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick J. Sheets, M.D., P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.