NPIMap

Organization Active NPI

Linda Rosenberg D.O.

  • Internal Medicine Physician
  • Hammond, IN
National Provider Identifier
1407120488
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02000824A Issued in IN
Legal business name
LINDA ROSENBERG D.O.
Practice address
5500 Hohman Ave
Hammond, IN 46320-1965
Phone
(219) 931-5110
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Linda E. Rosenberg, D.O.NPI 1568494169
Title
Physician
Phone
(219) 931-5110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 02000824A IN Primary

Addresses

Primary practice location

5500 Hohman Ave
Hammond, IN 46320-1965

Mailing address

5500 Hohman Ave
Hammond, IN 46320-1965
Phone (219) 931-5110

Other identifiers 1

IdentifierTypeStateIssuer
100214460MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1407120488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-931-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201965",
            "telephone_number": "219-931-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA ROSENBERG D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-931-5110",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02000824A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214460",
            "state": "IN"
        }
    ],
    "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 Mar 8, 2012; 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.