Cosmetic and Plastic Surgery of Northwest Indiana PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01043550A

Legal business name

COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PC

Practice address

7865 N Grand Blvd
Hobart, IN 46342-6665

Phone

(219) 945-0669

Fax

(219) 945-5669

NPI assigned

Mar 10, 2008

Organization subpart

Yes

Parent organization

COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Craig Malczewski, MDNPI 1336141050

Title

President

Phone

(219) 945-0669

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Cosmetic Plastic Surgery O

Practitioners 1

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

• Michael C Malczewski, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Hobart, IN
  • NPI 1336141050

  Surgery of the Hand

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1609046317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 N GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-945-0669",
            "fax_number": "219-945-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 N GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-945-0669",
            "fax_number": "219-945-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSMETIC AND PLASTIC SURGERY OF NORTHWEST INDIANA PC",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MALCZEWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-945-0669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01043550A",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": "01043550A",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": "01043550A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025060A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253570L",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Anesthesia & Pain Treatment, LLC
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• Connery Pediatrics, LLC
• Brett Cormier, MSW
• Jennifer R Corsbie, PA-C
• Tracy Lynn Covaciu, LDH
• Cherie Anneliese Cox, NCC, LMHCA
• Viktoria Allison Cox, D.M.D.
• Tabitha Crane, M.D
• Tina Crum, CNM

• Plastic Surgery Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.