Nwi Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NWI PRIMARY CARE LLC

Practice address

642 S Lake St
Gary, IN 46403-2967

Phone

(219) 794-4024

NPI assigned

Oct 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Paula Jean Rousis, RN

Title

Ceo/President

Phone

(219) 794-4024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412467200000",
    "number": "1689077620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032967",
            "telephone_number": "219-794-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A",
        "authorized_official_last_name": "ROUSIS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "219-794-4024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cirsten Nunn
• Nusource Educational Service
• Nuway Incorporated
• Nwi Mobile Imaging LLC
• Nwi Patient Care LLC.
• Brynn Nylin
• Victor A. Obajuluwa, PT, PHD
• Jill Obrien, PHARMD
• Occupational Health Centers of the Southwest P.a.
• Odies H. Williams, III, M. D., P. C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; 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.