Crown Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01050515A Issued in IN

Legal business name

CROWN FAMILY MEDICINE, LLC

Practice address

200 S West St
Crown Point, IN 46307-3908

Phone

(219) 662-7583

Fax

(219) 662-7378

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kamartaj Saifullah Quadri, MD

Title

President

Phone

(219) 662-7583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1477600401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH WEST STREET",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074848",
            "telephone_number": "219-662-7583",
            "fax_number": "219-662-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WEST ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073908",
            "telephone_number": "219-662-7583",
            "fax_number": "219-662-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "KAMARTAJ",
        "authorized_official_middle_name": "SAIFULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-662-7583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050515A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyran Larry Crosslin
• Darcy Danielle Crowder, D.C.
• Kelli Barber Crowley, MD
• Crown Counseling, LLC
• Crown Cranial & Orthotics, LLC
• Crown Family Services Inc
• Crown Foot & Ankle, LLC
• Crown Point Community School Corporation
• Crown Point Counseling Services
• Crown Point Eye Care

• Family Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.