Mitchell Leslie Bressack

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MITCHELL LESLIE BRESSACK

Practice address

70 West 94TH Place
Crown Point, IN 46307-1710

Phone

(219) 662-8822

Fax

(219) 662-8833

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell L Bressack, M.D.

Title

Proprietor

Phone

(219) 662-8822

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Center of NW Indiana Doing business as

Locations

Practitioners 1

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

• Jordan N Stemer - Miranda, PA

  • Medical Physician Assistant
  • Crown Point, IN
  • NPI 1861708323
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1730133455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WEST 94TH PLACE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-662-8822",
            "fax_number": "219-662-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WEST 94TH PLACE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-662-8822",
            "fax_number": "219-662-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL LESLIE BRESSACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BRESSACK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "219-662-8822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Center of NW Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylee Miller, MD
• Paul Miller, D.D.S.
• Brianna N Mills
• Mary Mirro, PSYD
• Ryan Kilpatrick Misek, D.O.
• Maranda Michelle Mitchell
• Rachelle Lene' Mitchell, PMHNP
• MK Orthopedics, LLC
• Jorie J. Moberley, PHD, CPNP
• Melissa Moeller, DPT

• Dermatology Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.