Organization Active NPI

Powers Cardiology P C

  • Cardiovascular Disease Physician
  • La Porte, IN
National Provider Identifier
1487848867
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01045491 Issued in IN
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

Updated by the provider on Oct 8, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000192667OtherINANTHEM PIN
200908200AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.