NPIMap

Organization Active NPI

La Porte Regional Physician Network, Inc

  • Neurological Surgery Physician
  • Valparaiso, IN
National Provider Identifier
1407090335
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01033345 Issued in IN
Legal business name
LA PORTE REGIONAL PHYSICIAN NETWORK, INC
Practice address
2000 Roosevelt Rd
Suite 202
Valparaiso, IN 46383-2800
Phone
(219) 531-8908
Fax
(219) 548-0108
NPI assigned
Apr 22, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Rhonda Volk
Title
Executive Director
Phone
(219) 326-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 01033345 IN Primary

Addresses

Primary practice location

2000 Roosevelt Rd
Suite 202
Valparaiso, IN 46383-2800

Mailing address

PO Box 1690
La Porte, IN 46352-1690
Phone (219) 326-2489

Other identifiers 1

IdentifierTypeStateIssuer
100165070FMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Laporte Regional Physician Network28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

2000 Roosevelt Rd
Ste 202
Valparaiso, IN 46383
Phone (219) 531-0828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1407090335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1690",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463521690",
            "telephone_number": "219-326-2489",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "address_2": "SUITE 202",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-531-8908",
            "fax_number": "219-548-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE REGIONAL PHYSICIAN NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-326-2485"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01033345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165070F",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.