NPIMap

Organization Active NPI

Childrens and Family Health Clinic

  • Pediatrics Physician
  • Merrillville, IN
National Provider Identifier
1609899533
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01032560 Issued in IN
Legal business name
CHILDRENS AND FAMILY HEALTH CLINIC
Doing business as
Childrens and Family Health Clinic
Practice address
205 E 86TH CT
Merrillville, IN 46410
Phone
(219) 769-9070
Fax
(219) 769-1758
NPI assigned
Jul 25, 2006
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mrs. Azra Shibli Sheriff, MD
Title
President
Phone
(219) 769-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01032560 IN
Pediatrics Physician 208000000X 01032560 IN Primary

Addresses

Primary practice location

205 E 86TH CT
Merrillville, IN 46410

Mailing address

205 E 86TH CT
Merrillville, IN 46410
Phone (219) 769-9070

Other identifiers 1

IdentifierTypeStateIssuer
100212430CMedicaidIN

Other names 1

  • Childrens and Family Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9128 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 836-2730

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1609899533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS AND FAMILY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SHERIFF",
        "authorized_official_first_name": "AZRA",
        "authorized_official_middle_name": "SHIBLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-769-9070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032560",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01032560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212430C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens and Family Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.