Active NPI
Advanced Lifestyle Care PC
- Pain Clinic/Center
- Hobart, IN
National Provider Identifier
1407487119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- ADVANCED LIFESTYLE CARE PC
- Practice address
- 6195 Marcella Blvd
Hobart, IN 46342-0040 - Phone
- (219) 942-7100
- Fax
- (219) 945-0045
- NPI assigned
- Jan 31, 2020
- Last updated
- Jan 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry Ring, MD
- Title
- Owner
- Phone
- (219) 613-8130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | NU | Primary |
Addresses
Primary practice location
6195 Marcella Blvd
Hobart, IN 46342-0040
Mailing address
6195 Marcella Blvd
Hobart, IN 46342-0040
Phone (219) 942-7100
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Hobart, IN
- NPI 1487668695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580428800000",
"number": "1407487119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6195 MARCELLA BLVD",
"city": "HOBART",
"state": "IN",
"postal_code": "463420040",
"telephone_number": "219-942-7100",
"fax_number": "219-945-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6195 MARCELLA BLVD",
"city": "HOBART",
"state": "IN",
"postal_code": "463420040",
"telephone_number": "219-942-7100",
"fax_number": "219-945-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED LIFESTYLE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A",
"authorized_official_last_name": "RING",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-613-8130",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.