Mark Nootens, MD, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01042703 Issued in IN

Legal business name

MARK NOOTENS, MD, PC

Practice address

931 Fran Lin Pkwy
Munster, IN 46321-3540

Phone

(219) 513-0107

Fax

(219) 513-0108

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Nootens

Title

Office Manager

Phone

(219) 513-0107

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: mnootens@mn-in.direct.office.nextgen.com

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1548591845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-513-0107",
            "fax_number": "219-513-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 FRAN LIN PKWY",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213540",
            "telephone_number": "219-513-0107",
            "fax_number": "219-513-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK NOOTENS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "NOOTENS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-513-0107",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01042703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000243924",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYCISIAN NPI",
            "identifier": "1568491975",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043060B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICAID",
            "identifier": "330467487",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnootens@MN-IN.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Healthfusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "931 Fran Lin Pkwy",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463213540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Ann Mantis, MS, RN, CNS, BC-ADM,
• Ryan Manuszak, PHARM.D.
• Nicole Marchese, RDH, LDH
• Avalon Marciniak
• Mariah Marine
• Amber Markasovic, MS CCC-SLP
• Alyssa Markle, FNP-C
• Jamie M Markulin, AGCNS-BC
• John Michael Marogol, PA
• Rose Mary Marsee, CRNA

• Cardiovascular Disease Physician in Munster, IN
• Providers in Munster, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.