Pulmonary Specialists of Northwest Indiana, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PULMONARY SPECIALISTS OF NORTHWEST INDIANA, PC

Practice address

7875 Grand Blvd
Hobart, IN 46342-6665

Phone

(219) 942-9658

Fax

(219) 947-1996

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy Frank

Title

Office Manager

Phone

(219) 942-9658

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 5

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

• Raja G Devanathan, M.D.

  • Pulmonary Disease Physician
  • Hobart, IN
  • NPI 1871587220

  Specialist

  Medicare reassignment Care Compare group NPD
• John Edward Jordan III, M.D.

  • Pulmonary Disease Physician
  • Hobart, IN
  • NPI 1174684344
  Medicare reassignment Care Compare group NPD
• May Y. Lee, M.D.

  • Pulmonary Disease Physician
  • Hobart, IN
  • NPI 1073556155
  Medicare reassignment Care Compare group NPD
• Courtney Miller, FNP

  • Family Nurse Practitioner
  • Hobart, IN
  • NPI 1275006819
  Medicare reassignment Care Compare group NPD
• Victoria Marie Rendulic, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Orland Park, IL
  • NPI 1083402119

  IN

  Medicare reassignment

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1760601389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-942-9658",
            "fax_number": "219-947-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-942-9658",
            "fax_number": "219-947-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SPECIALISTS OF NORTHWEST INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-942-9658",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Victor Piasecki, PA-C
• Melissa June Licupa Pineda, PT
• Robert A Predaina, MD
• Progressions Counseling, LLC
• Ashlee N Prusynski, FNP-C
• Lynn Pupek, HAD
• Victoria Anne Pyke, FNP-C
• Javairia Quraishi, MD
• Holly Elizabeth Raimondi, PA-C
• Satya N Ramiah, D.O.

• Specialist in Hobart, IN
• Providers in Hobart, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.