Organization Active NPI

Indiana Heart and Vascular Institute PC

  • Cardiovascular Disease Physician
  • Michigan City, IN
National Provider Identifier
1437335494
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01041339A Issued in IN
Legal business name
INDIANA HEART AND VASCULAR INSTITUTE PC
Practice address
1225 E Coolspring Ave
Suite 400
Michigan City, IN 46360-6312
Phone
(219) 861-8170
Fax
(219) 871-7520
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
William G Espar, MD
Title
President
Phone
(219) 874-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 01041339A IN Primary

Addresses

Primary practice location

1225 E Coolspring Ave
Suite 400
Michigan City, IN 46360-6312

Mailing address

1225 E Coolspring Ave
Suite 400
Michigan City, IN 46360-6312
Phone (219) 861-8170

Other identifiers 2

IdentifierTypeStateIssuer
000000552910OtherINANTHEME BC/BS
200890550AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1225 E Coolspring Ave
Ste 400
Michigan City, IN 46360
Phone (219) 861-8170

1225 E Coolspring Ave
#400
Michigan City, IN 46360
Phone (219) 861-8170

1608 Lincolnway
#G
Valparaiso, IN 46383

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": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1437335494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "address_2": "SUITE 400",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-861-8170",
            "fax_number": "219-871-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "address_2": "SUITE 400",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-861-8170",
            "fax_number": "219-871-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART AND VASCULAR INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "ESPAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-874-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01041339A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEME BC/BS",
            "identifier": "000000552910",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.