Active NPI
Genuwin Health Inc
- Pediatrics Physician
- La Porte, IN
National Provider Identifier
1871059360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GENUWIN HEALTH INC
- Practice address
- 6916 W Johnson Rd
La Porte, IN 46350-6548 - Phone
- (219) 210-3676
- Fax
- (219) 814-4228
- NPI assigned
- Feb 20, 2019
- Last updated
- Feb 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerard S Roberts, MD
- Title
- Owner
- Phone
- (219) 210-3676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
6916 W Johnson Rd
La Porte, IN 46350-6548
Mailing address
4968 N Remington SQ
La Porte, IN 46350-8893
Phone (219) 478-6682
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Crown Point, IN
- NPI 1306602644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1871059360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4968 N REMINGTON SQ",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463508893",
"telephone_number": "219-478-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6916 W JOHNSON RD",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463506548",
"telephone_number": "219-210-3676",
"fax_number": "219-814-4228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENUWIN HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-210-3676",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.