Active NPI
Surgical Consultants of Northwest Indiana ,P.C.
- Specialist
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01052161A
- Legal business name
- SURGICAL CONSULTANTS OF NORTHWEST INDIANA ,P.C.
- Practice address
- 5521 W Lincoln Hwy
Suite 215
Crown Point, IN 46307-1097 - Phone
- (219) 736-6850
- Fax
- (219) 736-6855
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Arnold Bleza, MD
- Title
- President
- Phone
- (219) 736-6850
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01052161A | IN | Primary |
Addresses
Primary practice location
5521 W Lincoln Hwy
Suite 215
Crown Point, IN 46307-1097
Mailing address
PO Box 597
Schererville, IN 46375-0597
Phone (219) 736-6850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200348360 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Surgical Consultants of Northwest Indiana PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Crown Point, IN
- NPI 1902877814
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258588800000",
"number": "1811092059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463750597",
"telephone_number": "219-736-6850",
"fax_number": "219-736-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5521 W LINCOLN HWY",
"address_2": "SUITE 215",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071097",
"telephone_number": "219-736-6850",
"fax_number": "219-736-6855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL CONSULTANTS OF NORTHWEST INDIANA ,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2009-11-19",
"status": "A",
"authorized_official_last_name": "BLEZA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ARNOLD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-736-6850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IN",
"license": "01052161A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200348360",
"state": "IN"
}
],
"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 Nov 19, 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.