Organization Active NPI

High Risk Obstetrics & Diagnostics SC

  • Maternal & Fetal Medicine Physician
  • Crown Point, IN
National Provider Identifier
1689758583
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
HIGH RISK OBSTETRICS & DIAGNOSTICS SC
Practice address
1205 S Main St
Suite 203
Crown Point, IN 46307-3676
Phone
(219) 213-2280
Fax
(219) 213-2280
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Dr. Thomas Allan Losure, DO
Title
President High Risk OB
Phone
(219) 213-2280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

1205 S Main St
Suite 203
Crown Point, IN 46307-3676

Mailing address

1205 S Main St
Suite 203
Crown Point, IN 46307-3676
Phone (219) 213-2280

Other identifiers 2

IdentifierTypeStateIssuer
036058922OtherILLICENSE
036076900OtherILLICENSE

National Provider Directory

National Provider Directory

Locations

5463 Bull Valley Rd
McHenry, IL 60050
Phone (630) 208-7703

1205 S Main St
Ste 203
Crown Point, IN 46307
Phone (219) 213-2280

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1689758583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073676",
            "telephone_number": "219-213-2280",
            "fax_number": "219-213-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073676",
            "telephone_number": "219-213-2280",
            "fax_number": "219-213-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH RISK OBSTETRICS & DIAGNOSTICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "LOSURE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT HIGH RISK OB",
        "authorized_official_telephone_number": "219-213-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036058922",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036076900",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.