Lincoln Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01049378A Issued in IN

Legal business name

LINCOLN PEDIATRICS

Practice address

414 Lincolnway
La Porte, IN 46350-3350

Phone

(219) 326-5400

Fax

(219) 326-5455

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Adam Sergiwa, MD

Title

Ceo

Phone

(219) 326-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10017457

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1447404546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463520785",
            "telephone_number": "219-326-5400",
            "fax_number": "219-326-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503350",
            "telephone_number": "219-326-5400",
            "fax_number": "219-326-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SERGIWA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-326-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01049378A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000305691",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in La Porte, IN
• Providers in La Porte, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.