Active NPI
Northwest Indiana Oncology PC
- Hematology & Oncology Physician
- Michigan City, IN
National Provider Identifier
1699704304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01040872
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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 DirectoryLocations
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.