Northern Indiana Medical Consultants PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01046988 Issued in IN

Legal business name

NORTHERN INDIANA MEDICAL CONSULTANTS PC

Practice address

909 W Maumee St
Suite E
Angola, IN 46703-1368

Phone

(260) 665-7500

Fax

(260) 665-7501

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Olabode E Oladeinde, M.D.

Title

Owner

Phone

(260) 665-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1497036727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W MAUMEE ST",
            "address_2": "PO BOX 690",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031368",
            "telephone_number": "260-665-7500",
            "fax_number": "260-665-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAUMEE ST",
            "address_2": "SUITE E",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031368",
            "telephone_number": "260-665-7500",
            "fax_number": "260-665-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA MEDICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "OLADEINDE",
        "authorized_official_first_name": "OLABODE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-665-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01046988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Angola, IN
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.