Organization Active NPI

Yvon Nazon MD SC

  • Obstetrics & Gynecology Physician
  • Merrillville, IN
National Provider Identifier
1912046020
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01021678C Issued in IN
Legal business name
YVON NAZON MD SC
Practice address
6111 Harrison St
Ste 308
Merrillville, IN 46410-2969
Phone
(773) 734-7551
Fax
(708) 585-0211
NPI assigned
Feb 5, 2007
Last updated
Mar 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Mr. Yvon Jeune Nazon, MD
Title
President/Treasurer
Phone
(773) 734-7551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01021678 IN
Obstetrics & Gynecology Physician 207V00000X 01021678C IN Primary

Addresses

Primary practice location

6111 Harrison St
Ste 308
Merrillville, IN 46410-2969

Mailing address

6111 Harrison St
Ste 308
Merrillville, IN 46410-2969
Phone (773) 734-7551

Other identifiers 1

IdentifierTypeStateIssuer
100438330MedicaidIN

Other names 1

  • Nazon Medical Corporation and Wellness Other name

National Provider Directory

National Provider Directory

Locations

6111 Harrison St
Ste 308
Merrillville, IN 46410
Phone (773) 734-7551

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1912046020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST",
            "address_2": "STE 308",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102969",
            "telephone_number": "773-734-7551",
            "fax_number": "708-585-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST",
            "address_2": "STE 308",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102969",
            "telephone_number": "773-734-7551",
            "fax_number": "708-585-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVON NAZON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "NAZON",
        "authorized_official_first_name": "YVON",
        "authorized_official_middle_name": "JEUNE",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "773-734-7551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01021678",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01021678C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100438330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazon Medical Corporation and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.