Select Specialty Hospital - Northern Indiana, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC

Practice address

215 W 4TH St
2ND FL
Mishawaka, IN 46544-1917

Phone

(717) 972-1100

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

VP

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Tax ID family

Select Specialty Hospital - Northern Indiana LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Select Specialty Hospital - Northern Indiana, LLC

  • Long Term Care Hospital
  • Mishawaka, IN
  • NPI 1316306178
  NPD tax ID

Locations

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1336502913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "address_2": "2ND FL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441917",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sears, PH.D.
• Brooke Elizabeth Seidler, DPT
• Thomas E Seiffert, MD
• Cynthia Marie Seigel, FNP
• Select Specialty Hospital - Northern Indiana, LLC
• Christina Kaye Senff, MPA, RD, CD, CDE
• Senior Helpers
• Rithisak Seth, PHARMD
• Wendy Settle, PH.D.
• Ajazuddin Z. Shaikh, M.D.

• Hospitalist Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Hospitalist Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.