9128 Columbia Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0632560 Issued in IN

Legal business name

9128 COLUMBIA CORPORATION

Practice address

9128 Columbia Corporation
9128 Columbia Avenue
Munster, IN 46321

Phone

(219) 836-2730

Fax

(219) 836-0244

NPI assigned

Nov 7, 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

Azra S Sheriff, MDNPI 1053321141

Title

President

Phone

(219) 836-2730

Specialties & licenses 1

Addresses

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.

• Azra Shibli Sheriff, MD

  • Pediatrics Physician
  • Munster, IN
  • NPI 1053321141
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528137205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 COLUMBIA CORPORATION",
            "address_2": "9128 COLUMBIA AVENUE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-2730",
            "fax_number": "219-836-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 COLUMBIA CORPORATION",
            "address_2": "9128 COLUMBIA AVENUE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-2730",
            "fax_number": "219-836-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "9128 COLUMBIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERIFF",
        "authorized_official_first_name": "AZRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-2730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "0632560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 219 Health Network, Inc.
• 219 Health Network, Inc.
• 219 Health Network, Inc.
• 219 Health Network, Inc.
• 219 Health Network, Inc.
• A Thriving Ming Mental Health LLC
• Mazoza Morsi Abdallah, P.T
• Nabil Abdo
• Betsy Abraham, PHARMD
• Absolute Power Inc. (Kid Power Therapy, Inc.)

• Pediatrics Physician in Munster, IN
• Providers in Munster, IN by specialty
• Pediatrics 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.