Hobart Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01046155A Issued in IN

Legal business name

HOBART CLINIC LLC

Practice address

1441 S Lake Park Ave
Hobart, IN 46342-6635

Phone

(219) 945-5888

Fax

(219) 945-5880

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

John E Dolatowski Jr., M.D.NPI 1205922218

Title

Owner

Phone

(219) 945-5888

Specialties & licenses 1

Addresses

Locations

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.

• John Edward Dolatowski Jr., M.D.

  • Internal Medicine Physician
  • Hobart, IN
  • NPI 1205922218
  Authorized official Same address or phone

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1700193208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426635",
            "telephone_number": "219-945-5888",
            "fax_number": "219-945-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426635",
            "telephone_number": "219-945-5888",
            "fax_number": "219-945-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBART CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DOLATOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-945-5888",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.