Active NPI
Mishawaka Osteopathic Clinic
- Family Medicine Physician
- Mishawaka, IN
National Provider Identifier
1336271253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02000433
- Legal business name
- MISHAWAKA OSTEOPATHIC CLINIC
- Practice address
- 1207 Lincoln Way West
Mishawaka, IN 46544 - Phone
- (574) 255-4733
- Fax
- (574) 255-4464
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Max E Helman, DO
- Title
- Owner
- Phone
- (574) 255-4733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02000433 | IN | Primary |
Addresses
Primary practice location
1207 Lincoln Way West
Mishawaka, IN 46544
Mailing address
1207 Lincoln Way West
Mishawaka, IN 46544
Phone (574) 255-4733
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0356825 | Mishawaka Osteopathic Clinic | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336271253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 LINCOLN WAY WEST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46544",
"telephone_number": "574-255-4733",
"fax_number": "574-255-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 LINCOLN WAY WEST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "46544",
"telephone_number": "574-255-4733",
"fax_number": "574-255-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISHAWAKA OSTEOPATHIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HELMAN",
"authorized_official_first_name": "MAX",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-255-4733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "02000433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.