Duneland Internal Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

02001394A Issued in IN

Legal business name

DUNELAND INTERNAL MEDICINE LLC

Practice address

8733 W 400 N
Michigan City, IN 46360-9330

Phone

(219) 879-0330

Fax

(219) 879-0325

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Anne T Hollingsworth, D.O.

Title

President/Ceo

Phone

(219) 395-1675

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1811260680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JONES CT",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042690",
            "telephone_number": "219-395-1675",
            "fax_number": "219-395-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 W 400 N",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609330",
            "telephone_number": "219-879-0330",
            "fax_number": "219-879-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNELAND INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "219-395-1675",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "02001394A",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5101010753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Downs
• Dr. Thomas V. Tsoutsouris
• Amy Drenth, FNP-BC
• Meghan Drozdzewicz, PT
• Dsi Duneland Dialysis-Michigan City LLC
• Dunes Optical, LLC
• Dunes Optical, LLC
• Dynamic Psychology, LLC
• Eaton Chiropractic Inc
• Matthew Robert Eaton, D.C

• Primary Care Clinic/Center in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.