Northern Indiana Occupational Medicine Services LLC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

NORTHERN INDIANA OCCUPATIONAL MEDICINE SERVICES LLC

Practice address

3220 Lancer St
Portage, IN 46368-4495

Phone

(219) 364-3161

Fax

(219) 764-8463

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela Leicht

Title

Account Manager

Phone

(219) 763-6423

Specialties & licenses 1

Addresses

Other names 1

• NIOMS, LLC Other name

Tax ID family

Nioms LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Northern Indiana Occupational Medicine Services LLC

  • Occupational Medicine Physician
  • Valparaiso, IN
  • NPI 1083714190
  NPD tax ID
• Northwest Indiana Occupational Medice Services, LLC

  dba Nioms

  • Occupational Medicine Physician
  • Valparaiso, IN
  • NPI 1780827642
  NPD tax ID

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396845491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2028",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685528",
            "telephone_number": "440-716-1283",
            "fax_number": "440-716-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 LANCER ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684495",
            "telephone_number": "219-364-3161",
            "fax_number": "219-764-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA OCCUPATIONAL MEDICINE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEICHT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "219-763-6423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIOMS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krista S Nguyen, NP-C
• Nhi Ee Group LLC
• Rachel Jaynu Nimely-Scott, APN
• Temple Noel, PTS
• Northern Indiana Dermatology and Skin Surgery Center
• Northshore Health Centers, Inc.
• Northshore Health Centers, Inc.
• Northshore Health Centers, Inc.
• Northshore Portage Sterling Creek Pharmacy
• Heather Norwalk, RN

• Occupational Medicine Physician in Portage, IN
• Providers in Portage, IN by specialty
• Occupational Medicine Physician in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.