Active NPI
Highland Clinic of Northwest Indiana Inc
- General Practice Physician
- Highland, IN
National Provider Identifier
1497954390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 010226043
- Legal business name
- HIGHLAND CLINIC OF NORTHWEST INDIANA INC
- Practice address
- 2834 Highway Ave Ste 1
Highland, IN 46322 - Phone
- (219) 838-0066
- Fax
- (219) 838-4096
- NPI assigned
- Jul 12, 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. Nazeerulla Shaik, M.D.
- Title
- Physician
- Phone
- (219) 838-0066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 010226043 | IN | Primary |
Addresses
Primary practice location
2834 Highway Ave Ste 1
Highland, IN 46322
Mailing address
2834 Highway Ave Ste 1
Highland, IN 46322-1629
Phone (219) 838-0066
Other practice location 1
2834 Highway Ave
Highland, IN 46322-1629
Phone (219) 838-0066
National Provider Directory
National Provider DirectoryLocations
3801 Ridge Rd
Highland, IN 46322
Phone (219) 838-0066
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Highland, IN
- NPI 1316996077
-
- Family Nurse Practitioner
- Dyer, IN
- NPI 1871675637
-
- Family Medicine Physician
- Glen Ellyn, IL
- NPI 1255825543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1497954390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 HIGHWAY AVE STE 1",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221629",
"telephone_number": "219-838-0066",
"fax_number": "219-838-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 HIGHWAY AVE STE 1",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "46322",
"telephone_number": "219-838-0066",
"fax_number": "219-838-4096"
}
],
"practiceLocations": [
{
"address_1": "2834 Highway Ave",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "IN",
"postal_code": "463221629",
"country_code": "US",
"telephone_number": "219-838-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HIGHLAND CLINIC OF NORTHWEST INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "SHAIK",
"authorized_official_first_name": "NAZEERULLA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "219-838-0066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "IN",
"license": "010226043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.