Organization Active NPI

Northwest Indiana Oncology PC

  • Hematology & Oncology Physician
  • Michigan City, IN
National Provider Identifier
1699704304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01040872 Issued in IN
Legal business name
NORTHWEST INDIANA ONCOLOGY PC
Practice address
8865 W 400 N
Suite 165
Michigan City, IN 46360-9222
Phone
(219) 872-2536
Fax
(219) 872-2533
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Johnson
Title
Business Manager
Phone
(219) 363-2134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 01040872 IN Primary

Addresses

Primary practice location

8865 W 400 N
Suite 165
Michigan City, IN 46360-9222

Mailing address

8865 W 400 N
Suite 165
Michigan City, IN 46360-9222
Phone (219) 872-2536

National Provider Directory

National Provider Directory

Locations

8865 W 400 N
Ste 165
Michigan City, IN 46360
Phone (219) 872-2532

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699704304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 165",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-872-2536",
            "fax_number": "219-872-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N",
            "address_2": "SUITE 165",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609222",
            "telephone_number": "219-872-2536",
            "fax_number": "219-872-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "219-363-2134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01040872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.