NPIMap

Organization Active NPI

Family Medicine Consultants Corp

  • Public Health or Welfare Agency
  • Gary, IN
National Provider Identifier
1528249703
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
01044809 Issued in IN
Legal business name
FAMILY MEDICINE CONSULTANTS CORP
Practice address
650 Grant St
Suite 5
Gary, IN 46404-1533
Phone
(219) 882-7730
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Benjamin Anigbo
Title
Doctor
Phone
(219) 882-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 01044809 IN Primary

Addresses

Primary practice location

650 Grant St
Suite 5
Gary, IN 46404-1533

Mailing address

650 Grant Street
Suite 5
Gary, IN 46404
Phone (219) 882-7730

Other identifiers 1

IdentifierTypeStateIssuer
200171090BMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1528249703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GRANT STREET",
            "address_2": "SUITE 5",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46404",
            "telephone_number": "219-882-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRANT ST",
            "address_2": "SUITE 5",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041533",
            "telephone_number": "219-882-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CONSULTANTS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "ANIGBO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "219-882-7730"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IN",
            "license": "01044809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200171090B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.