Organization Active NPI

Streeter Med, L.L.C.

  • Surgery Physician
  • Merrillville, IN
National Provider Identifier
1760177968
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STREETER MED, L.L.C.
Practice address
8127 Merrillville Road
Suite 3
Merrillville, IN 46410-1485
Phone
(219) 791-9782
Fax
(219) 791-9787
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dennis Lynn Streeter, D.O.NPI 1912994773
Title
President
Phone
(219) 791-9782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8127 Merrillville Road
Suite 3
Merrillville, IN 46410-1485

Mailing address

8127 Merrillville Road
Suite 3
Merrillville, IN 46410-1485
Phone (219) 791-9782

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1760177968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8127 MERRILLVILLE ROAD",
            "address_2": "SUITE 3",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101485",
            "telephone_number": "219-791-9782",
            "fax_number": "219-791-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8127 MERRILLVILLE ROAD",
            "address_2": "SUITE 3",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101485",
            "telephone_number": "219-791-9782",
            "fax_number": "219-791-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETER MED, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-791-9782",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.