NPIMap

Organization Active NPI

Advanced Medical Centers, LLC

  • Internal Medicine Physician
  • Crown Point, IN
National Provider Identifier
1295991008
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED MEDICAL CENTERS, LLC
Practice address
1105 W 163Rd Ave
Crown Point, IN 46307-9233
Phone
(219) 756-6605
Fax
(219) 756-6615
NPI assigned
Jul 31, 2008
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Mrs. Vicki R Muthart, CMA
Title
Office Manager
Phone
(219) 756-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1105 W 163Rd Ave
Crown Point, IN 46307-9233

Mailing address

155 W 86TH Ave
Unit B
Merrillville, IN 46410-7089
Phone (219) 756-6605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1295991008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 86TH AVE",
            "address_2": "UNIT B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107089",
            "telephone_number": "219-756-6605",
            "fax_number": "219-756-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W 163RD AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079233",
            "telephone_number": "219-756-6605",
            "fax_number": "219-756-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "MUTHART",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-756-6605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 10, 2008; 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.