Open Door Health Center

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

OPEN DOOR HEALTH CENTER

Practice address

8466 W Pahs Rd
Michigan City, IN 46360-2919

Phone

(219) 873-2082

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 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

Deborah Briggs

Title

Program Director

Phone

(219) 873-2082

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Vicki Overmyer, FNP

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1356503189
  NPD (past)

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1861736456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8466 W PAHS RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463602919",
            "telephone_number": "219-873-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "219-873-2082"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalilah Odom
• Tashina E Oladunjoye, MWS
• Olusola Akintunde Olowe, MD
• Ruthie Olson, RN
• Natalie S Opanasets, M.D.
• Zachary Ornelas, ATC
• Michael J Orrico, D.D.S.
• Kristin Osan, PA
• Ossip Optometry, P.C (C & B Optical One)
• Alison Otis, M.S. CCC-SLP

• Adolescent Medicine (Family Medicine) Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Adolescent Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.