NPIMap

Organization Active NPI

Cota

  • Occupational Medicine Clinic/Center
  • Dyer, IN
National Provider Identifier
1699111468
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
COTA
Practice address
2609 Calumet Ave
Dyer, IN 46311-1963
Phone
(219) 313-2555
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Ms. Kaitlin Marie BombaNPI 1851857536
Title
Cota
Phone
(219) 313-2555

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X CO Primary

Addresses

Primary practice location

2609 Calumet Ave
Dyer, IN 46311-1963

Mailing address

2609 Calumet Ave
Dyer, IN 46311-1963
Phone (219) 313-2555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1699111468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111963",
            "telephone_number": "219-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111963",
            "telephone_number": "219-313-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "BOMBA",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "219-313-2555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.