Medical Clinics of America

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MEDICAL CLINICS OF AMERICA

Practice address

1402 173Rd St
Hammond, IN 46324-2861

Phone

(219) 934-5300

NPI assigned

Feb 13, 2008

Organization subpart

Yes

Parent organization

MEDICAL CLINICS OF AMERICAAs reported in NPPES

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

Authorized official

Name

Sirajuddin Khaja, MD

Title

President

Phone

(219) 934-5300

Specialties & licenses 1

Addresses

Other names 1

• Walnut Creek at Hammond Other name

Part of

Medical Clinics of Amer

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1497923486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 OTIS BOWEN DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214158",
            "telephone_number": "219-934-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 173RD ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242861",
            "telephone_number": "219-934-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINICS OF AMERICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CLINICS OF AMERICA",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "SIRAJUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-934-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Creek at Hammond",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher John McIntire, DO
• McKane Medical & Hospital Supplies Inc
• Destiny Denae McKnight
• Athena McLaurin
• Alicia Danielle McWilliams, LPC, LMHC
• Medical Specialists Inc., PC
• Alonzo Benjamin Mendoza, RPH
• Mental Health America of Lake County, Inc
• Juleon Meredith, ED.S
• Ronald Michael, M.D.

• Pulmonary Disease Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Pulmonary Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.