Family Medicine Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01042994 Issued in IN

Legal business name

FAMILY MEDICINE ASSOCIATES, LLC

Practice address

5857 Broadway
Merrillville, IN 46410-2666

Phone

(219) 884-4450

Fax

(212) 884-4418

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Augustine Izah, MDNPI 1760476303

Title

Owner

Phone

(219) 884-4450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Augustine I Izah, MD

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1760476303

  Family Medicine, IN

  Medicare reassignment NPD Authorized official
• Sarah Nabors, FNP

  • Family Nurse Practitioner
  • Merrillville, IN
  • NPI 1699982736
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1659577146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10606",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464110606",
            "telephone_number": "219-884-4450",
            "fax_number": "219-884-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102666",
            "telephone_number": "219-884-4450",
            "fax_number": "212-884-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "IZAH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-884-4450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523670A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental Care PC
• Family Focused Supportive Services, LLC
• Family Health Care Inc
• Family Matters Institute, Inc.
• Family Medicine & Wellness Center, P.C.
• Family Medicine of Merrillville, PC
• Family Mobile Medical Services Inc
• Family Pieces Home Care LLC
• Family Thrive Inc
• Johann David Farley, MD

• All providers in Merrillville, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.