Porter County Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PORTER COUNTY INTERNAL MEDICINE PC

Practice address

3705 Quail Covey Drive
Valparaiso, IN 46383-2278

Phone

(219) 464-3941

Fax

(219) 464-3941

NPI assigned

Sep 26, 2006

Last updated

Sep 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla Anne Weiss

Title

Secretary Treasurer

Phone

(219) 464-3941

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

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.

• James Praveen Anthony, MD

  • Pulmonary Disease Physician
  • Valparaiso, IN
  • NPI 1639356025

  Internal Medicine

  NPD (past)
• Rebecca Sue Herrold-Engstrom, MSN, FNP

  • Critical Care Medicine Nurse Practitioner
  • Valparaiso, IN
  • NPI 1518369883
  NPD (past)
• Douglas Adolph Mazurek, M.D.

  • Specialist
  • Valparaiso, IN
  • NPI 1033223235
  NPD (past)
• Julia Lynn Rogers, FNP

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1548422348
  NPD (past)
• Lindsey Leann Sample, MSN, AG-ACNP

  • Nurse Practitioner
  • Valparaiso, IN
  • NPI 1114588076
  NPD (past)
• Ayman O Alsharbini, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Palos Heights, IL
  • NPI 1780947077
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1851492177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 QUAIL COVEY DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832278",
            "telephone_number": "219-464-3941",
            "fax_number": "219-464-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 QUAIL COVEY DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832278",
            "telephone_number": "219-464-3941",
            "fax_number": "219-464-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER COUNTY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "219-464-3941"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019300A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Porter County Chiropractic Clinic Inc.
• Porter County Community Services, Inc
• Porter County Endoscopy Center, LLC (Endolabs)
• Porter County Family Counseling Center
• Porter County Family Counseling Center
• Porter County Physical Med Rehab
• Porter County Pulmonary and Critical Care Medicine P.C.
• Porter Emergency Group, PC
• Porter Group Services, LLC
• Porter Health Service (Porter Orthopaedic Surgeons)

• Internal Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.