Active NPI
Powers Cardiology P C
- Cardiovascular Disease Physician
- La Porte, IN
National Provider Identifier
1487848867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01045491
- Legal business name
- POWERS CARDIOLOGY P C
- Practice address
- 607 Jefferson Ave
La Porte, IN 46350-3346 - Phone
- (219) 325-9671
- Fax
- (219) 325-9482
- NPI assigned
- Aug 29, 2007
- 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
- Dr. Christopher Dennis Powers, MD
- Title
- President
- Phone
- (219) 325-9671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01045491 | IN | Primary |
Addresses
Primary practice location
607 Jefferson Ave
La Porte, IN 46350-3346
Mailing address
607 Jefferson Ave
La Porte, IN 46350-3346
Phone (219) 325-9671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000192667 | Other | IN | ANTHEM PIN |
| 200908200A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1001 E Lincolnway
Laporte, IN 46350
607 Jefferson Ave
Laporte, IN 46350
Phone (219) 325-9671
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Chardon, OH
- NPI 1427619717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1487848867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 JEFFERSON AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503346",
"telephone_number": "219-325-9671",
"fax_number": "219-325-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 JEFFERSON AVE",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463503346",
"telephone_number": "219-325-9671",
"fax_number": "219-325-9482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POWERS CARDIOLOGY P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "POWERS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-325-9671",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01045491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000192667",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200908200A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.