Family Specialty Medical Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01053031A Issued in IN

Legal business name

FAMILY SPECIALTY MEDICAL CENTER, LLC

Practice address

3747 45TH St
Highland, IN 46322-3008

Phone

(219) 923-9200

Fax

(219) 922-5904

NPI assigned

Jul 8, 2016

Last updated

Oct 14, 2026By 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

Dr. Wail E Asfour, M.D.NPI 1720038680

Title

Owner/Physician

Phone

(219) 923-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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 5

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.

• Wail E Asfour, M.D.

  • Cardiovascular Disease Physician
  • Munster, IN
  • NPI 1720038680
  Medicare reassignment Care Compare group NPD Authorized official
• Cheryl Lynn May

  • Family Nurse Practitioner
  • Hobart, IN
  • NPI 1295304921
  Medicare reassignment Care Compare group NPD
• Lori P Turner, NP

  • Family Nurse Practitioner
  • Griffith, IN
  • NPI 1649770231
  Medicare reassignment Care Compare group NPD
• Tyler Widger, FNP

  • Family Nurse Practitioner
  • Highland, IN
  • NPI 1679330542
  Medicare reassignment NPD
• Ruba Azzam

  • Pediatric Gastroenterology Physician
  • Chicago, IL
  • NPI 1356491385

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1881046308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 RIDGE RD STE 5",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222081",
            "telephone_number": "219-923-9200",
            "fax_number": "219-922-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223008",
            "telephone_number": "219-923-9200",
            "fax_number": "219-922-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8127 Merrillville Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106306",
            "country_code": "US",
            "telephone_number": "219-923-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8731 Indianapolis Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221551",
            "country_code": "US",
            "telephone_number": "219-923-9200",
            "fax_number": "219-922-5904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Griffith",
            "state": "IN",
            "postal_code": "463191003",
            "country_code": "US",
            "telephone_number": "219-923-9200",
            "fax_number": "219-922-5904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3641 Ridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222081",
            "country_code": "US",
            "telephone_number": "219-923-9200",
            "fax_number": "219-922-5904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY SPECIALTY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "ASFOUR",
        "authorized_official_first_name": "WAIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "219-923-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01053031A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01053031A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Eubanks
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• Exotic Nova Extensions RX
• Fal-Highland, Inc. (Highland Nursing and Rehabilitation Center)
• Family Heath Care Center of Highland, P.C.
• Asif Hussain Farooqui, M.D.
• Roger Farris
• Fashion Optical
• Aaron Joseph Faulkner, DC
• Sharice Felton

• Internal Medicine Physician in Highland, IN
• Providers in Highland, 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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.