Organization Active NPI

Women'S Specialist of Northwest Indiana, LLC

  • Obstetrics & Gynecology Physician
  • East Chicago, IN
National Provider Identifier
1841273232
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01036148A Issued in IN
Legal business name
WOMEN'S SPECIALIST OF NORTHWEST INDIANA, LLC
Practice address
3924-26 Main St.
Suite 202
East Chicago, IN 46312
Phone
(219) 397-2008
Fax
(219) 398-1339
NPI assigned
Nov 21, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Kimberly D. Arthur, M.D.NPI 1700966629
Title
Ceo
Phone
(219) 397-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

3924 Main St
#202
East Chicago, IN 46312
Phone (219) 397-2008

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01036148A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

3924-26 Main St.
Suite 202
East Chicago, IN 46312

Mailing address

3924-26 Main St.
Suite 202
East Chicago, IN 46312
Phone (219) 397-2008

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
200501220AMedicaidIN
377621358MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2009.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1841273232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924-26 MAIN ST.",
            "address_2": "SUITE 202",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-397-2008",
            "fax_number": "219-398-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924-26 MAIN ST.",
            "address_2": "SUITE 202",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "46312",
            "telephone_number": "219-397-2008",
            "fax_number": "219-398-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S SPECIALIST OF NORTHWEST INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-397-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01036148A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200501220A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377621358",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

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

Verify at the official NPI Registry.