NPIMap

Organization Active NPI

David S. Mendelowitz MD Surgery PC

  • Surgery Physician
  • La Porte, IN
National Provider Identifier
1659516334
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01030941A Issued in IN
Legal business name
DAVID S. MENDELOWITZ MD SURGERY PC
Practice address
1300 State St Ste 2C
La Porte, IN 46350-3134
Phone
(219) 325-0152
Fax
(219) 325-8621
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. David Samuel Mendelowitz, MDNPI 1588678940
Title
President
Phone
(219) 325-0152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 01030941A IN Primary
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X 2989 IN

Addresses

Primary practice location

1300 State St Ste 2C
La Porte, IN 46350-3134

Mailing address

1300 State St Ste 2C
La Porte, IN 46350-3134
Phone (219) 325-0152

Other identifiers 1

IdentifierTypeStateIssuer
000000093837OtherINANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1659516334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE ST STE 2C",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503134",
            "telephone_number": "219-325-0152",
            "fax_number": "219-325-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE ST STE 2C",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503134",
            "telephone_number": "219-325-0152",
            "fax_number": "219-325-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. MENDELOWITZ MD SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MENDELOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-325-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01030941A",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IN",
            "license": "2989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000093837",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.