Nwi Medical Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NWI MEDICAL GROUP LLC

Practice address

5304 Broadway
Merrillville, IN 46410-1555

Phone

(219) 427-0630

Fax

(219) 427-1525

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Faizuddin Shareef, DO

Title

Secretary

Phone

(630) 699-6846

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1821360041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-427-0630",
            "fax_number": "219-427-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101555",
            "telephone_number": "219-427-0630",
            "fax_number": "219-427-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWI MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "SHAREEF",
        "authorized_official_first_name": "FAIZUDDIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-699-6846",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuclear Cardiology Associates, P.C.
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• Nwi Behavioral & Addiction Medicine LLC
• Nwi Medical Consultants
• Nwi Mobility, Inc.
• Nwi Wellness Center LLC
• Julie Elizabeth Nyhus, FNP
• Joanne Ellen O'Connor, PHARMD
• Martha M O'Danovich, PSYD

• Urgent Care Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.