Organization Active NPI

Midwest Integrated Health Systems, P.C.

  • Family Medicine Physician
  • Gary, IN
National Provider Identifier
1336211481
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01038724 Issued in IN
Legal business name
MIDWEST INTEGRATED HEALTH SYSTEMS, P.C.
Practice address
3300 W 15TH Ave
Gary, IN 46404-1963
Phone
(219) 944-3522
Fax
(219) 944-3595
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Ms. Perry L Mitchell
Title
Office Manager
Phone
(219) 944-3522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01038724 IN Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 01038724 IN

Addresses

Primary practice location

3300 W 15TH Ave
Gary, IN 46404-1963

Mailing address

PO Box 4446
3300 W 15TH Ave
Gary, IN 46404-0446
Phone (219) 944-3522

Other identifiers 1

IdentifierTypeStateIssuer
100147930AMedicaidIN

Other names 1

  • Dr Aaron E Johns Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1336211481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4446",
            "address_2": "3300 W 15TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464040446",
            "telephone_number": "219-944-3522",
            "fax_number": "219-944-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W 15TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041963",
            "telephone_number": "219-944-3522",
            "fax_number": "219-944-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INTEGRATED HEALTH SYSTEMS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-944-3522",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01038724",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01038724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147930A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Aaron E Johns",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.