Active NPI
Elizabeth A Weston-Hammang, MD
- Family Medicine Physician
- Granger, IN
National Provider Identifier
1639169188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01058403A
- Practice address
- 52500 Fir Rd
Granger, IN 46530-8579 - Phone
- (574) 271-0700
- Fax
- (574) 273-5648
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01058403A | IN | Primary |
Addresses
Primary practice location
52500 Fir Rd
Granger, IN 46530-8579
Mailing address
52500 Fir Rd
Granger, IN 46530-8579
Phone (574) 271-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200527990 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161
301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 204-6700
52500 Fir Rd
Granger, IN 46530-8579
Phone (574) 271-0700
Hospital & facility affiliations
- Elara Caring
- Saint Joseph Vna Home Care
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center
- Lakeland Hospital, St Joseph
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients |
Locations
52500 Fir Rd
Granger, IN 46530
Phone (574) 204-7050
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
Interoperability endpoints
- ewestonhammang255687@dulyhealthandcare.direct-ci.com
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1487307492
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- Home Health Agency
- South Bend, IN
- NPI 1093746562
-
- Home Health Agency
- Niles, MI
- NPI 1902382385
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1639169188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52500 FIR RD",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308579",
"telephone_number": "574-271-0700",
"fax_number": "574-273-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52500 FIR RD",
"city": "GRANGER",
"state": "IN",
"postal_code": "465308579",
"telephone_number": "574-271-0700",
"fax_number": "574-273-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON-HAMMANG",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01058403A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200527990",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.