Active NPI
Yvon Nazon MD SC
- Obstetrics & Gynecology Physician
- Merrillville, IN
National Provider Identifier
1912046020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01021678C
- 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, 2017
- 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
- Mr. Yvon Jeune Nazon, MD
- Title
- President/Treasurer
- Phone
- (773) 734-7551
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100438330 | Medicaid | IN |
Other names 1
- Nazon Medical Corporation and Wellness
National Provider Directory
National Provider DirectoryLocations
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.