CD Egnatz MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01019054A Issued in IN

Legal business name

CD EGNATZ MD PC

Practice address

1326 W US Route 30
Schererville, IN 46375

Phone

(219) 865-2691

Fax

(219) 322-5928

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 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

Dr. Charles Dyke Egnatz, MD

Title

Owner President

Phone

(219) 865-2691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Janet Lopez McComis, M.D.

  • Family Medicine Physician
  • Schererville, IN
  • NPI 1427299866
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508954322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 W US ROUTE 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-865-2691",
            "fax_number": "219-322-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 W US ROUTE 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "46375",
            "telephone_number": "219-865-2691",
            "fax_number": "219-322-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD EGNATZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGNATZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DYKE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "219-865-2691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01019054A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000086644",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Carlson, P.T.
• Bridget Carstensen
• Lorraine Piper Caruso, PT
• Ryan Cash, PHARMD
• William Guglielmo Cataldi, DO
• Center for Orthopaedics, P.C.
• Center Point Rehab, LLC
• Tricia Marie Cetnar, RDH
• Lorena Cheek, RPH
• Ivan L Chermel, MD

• Family Medicine Physician in Schererville, IN
• Providers in Schererville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.