Organization Active NPI

NW Indiana Ip, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Hammond, IN
National Provider Identifier
1346077633
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
NW INDIANA IP, LLC
Practice address
7904 Cabela Dr
Hammond, IN 46324-2950
Phone
(713) 660-0555
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Tom Vo
Title
Manager
Phone
(713) 660-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

7904 Cabela Dr
Hammond, IN 46324-2950

Mailing address

6030 S Rice Ave Ste C
Houston, TX 77081-2944
Phone (713) 660-0555

National Provider Directory

National Provider Directory

Locations

7904 Cabela Dr
Hammond, IN 46324
Phone (219) 554-9911

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1346077633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S RICE AVE STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812944",
            "telephone_number": "713-660-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 CABELA DR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242950",
            "telephone_number": "713-660-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW INDIANA IP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-660-0557"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.