Organization Active NPI

Dr. Erin Vicari, PC

  • Primary Care Clinic/Center
  • Crown Point, IN
National Provider Identifier
1770935355
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DR. ERIN VICARI, PC
Practice address
166 S West St
Crown Point, IN 46307-3906
Phone
(219) 577-5643
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Dr. Erin Vicari, MDNPI 1134143019
Title
Physician
Phone
(219) 577-5643

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

166 S West St
Crown Point, IN 46307-3906

Mailing address

166 S West St
Crown Point, IN 46307-3906
Phone (219) 577-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160809002131 IN Part B Supplier - Clinic/Group Practice 2769776038 Receives reassigned benefits from 2 practitioners
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

166 S West St
Crown Point, IN 46307
Phone (219) 213-2320

Practitioners & affiliated clinicians

Practitioners 2

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": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1770935355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 S WEST ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073906",
            "telephone_number": "219-577-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S WEST ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073906",
            "telephone_number": "219-577-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIN VICARI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "VICARI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-577-5643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.