MD Healthcare Direct

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MD HEALTHCARE DIRECT

Practice address

5330 Harrison Street
Merrillville, IN 46410-1465

Phone

(219) 712-3657

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Okechi Nwabara, MD

Title

Ceo

Phone

(219) 712-7375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Bandy, APN

  • Nurse Practitioner
  • Gary, IN
  • NPI 1306224597
  Medicare reassignment

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1508493669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 HARRISON STREET",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101465",
            "telephone_number": "219-712-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 HARRISON STREET",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101465",
            "telephone_number": "219-712-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "NWABARA",
        "authorized_official_first_name": "OKECHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-712-7375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla Marie McLaurin
• Sterling McMillan
• Maureen McNulty, PSYD., HSPP
• James Alan McPencow, MD
• MD Emergent Care Inc
• Meals on Wheels of NW Indiana
• Medical Supply Plus, Inc
• Medical Surgical Wellness Center, L.L.C
• Medici Health Care Providers, P.C.
• Patty A Meding

• Internal Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.