Internal Medicine Center of Northwest Indiana PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE CENTER OF NORTHWEST INDIANA PC

Practice address

3535 Broadway
Gary, IN 46409-1316

Phone

(219) 884-4900

Fax

(219) 980-7585

NPI assigned

Nov 30, 2005

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Dr. Okechi N Nwabara, MD

Title

President

Phone

(219) 884-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Internal Medical Ctr NW

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1649254160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091316",
            "telephone_number": "219-884-4900",
            "fax_number": "219-980-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091316",
            "telephone_number": "219-884-4900",
            "fax_number": "219-980-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CENTER OF NORTHWEST INDIANA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "NWABARA",
        "authorized_official_first_name": "OKECHI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-884-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200030490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Medical Transportation Profession, LLC
• Indiana Medical Transportation Profession, LLC
• Indiana Regional Sleep Disorders Center, Inc
• Indiana University Northwest
• Inner Connections Counseling & Consulting LLC
• Paul Ireland
• Annick Ishami, DMD
• Asha L Ismael, CNA
• Kele Ivey, RN
• Anthony O Iwuagwu, M.D.

• Internal Medicine Physician in Gary, IN
• Providers in Gary, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.