Ocampo Medical Centers, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

O1058122A Issued in IN

Legal business name

OCAMPO MEDICAL CENTERS, LLC.

Practice address

3100 - 45 TH St.
Suite # 3
Highland, IN 46322-3289

Phone

(219) 922-6911

Fax

(219) 922-6968

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolina V Ocampo, M.D.

Title

President

Phone

(219) 922-6911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Yookyung Lee, M.D.

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1891884078
  NPD (past)
• Kenneth A Perez, DO

  • Family Medicine Physician
  • Austin, TX
  • NPI 1649286907
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1720196710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 - 45 TH ST.",
            "address_2": "SUITE # 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 - 45 TH ST.",
            "address_2": "SUITE # 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCAMPO MEDICAL CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-922-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "O1058122A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454910A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Indiana Id Associates PC
• Northwest Indiana Podiatry Clinic, LLC
• Northwest Indiana Therapy Center, LLC
• Northwest Psychological Services, P.C.
• Joyce Nowak, CRTT
• Carolina Ocampo, M.D.
• Christina Occhiuzzo, M.A., BCBA
• Oluwadamilare Ogunjimi
• Lisa Maureen Ogut, LCSW
• Promise Ebuka Okonkwo, HIS

• Clinic/Center in Highland, IN
• Providers in Highland, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.