Active NPI
OBGYN Associates of Northern in, PC
- Specialist
- South Bend, IN
National Provider Identifier
1912951971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- OBGYN ASSOCIATES OF NORTHERN IN, PC
- Practice address
- 610 N Michigan St
Suite 200
South Bend, IN 46601-1077 - Phone
- (574) 232-1471
- Fax
- (574) 239-8511
- NPI assigned
- May 22, 2006
- 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
- Dr. Leonard Ferguson, M.D.
- Title
- Physician
- Phone
- (574) 232-1471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
610 N Michigan St
Suite 200
South Bend, IN 46601-1077
Mailing address
610 N Michigan St
Suite 200
South Bend, IN 46601-1077
Phone (574) 232-1471
National Provider Directory
National Provider DirectoryLocations
837 Cedar St
Ste 220
South Bend, IN 46617
Phone (574) 234-9050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912951971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MICHIGAN ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011077",
"telephone_number": "574-232-1471",
"fax_number": "574-239-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MICHIGAN ST",
"address_2": "SUITE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011077",
"telephone_number": "574-232-1471",
"fax_number": "574-239-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBGYN ASSOCIATES OF NORTHERN IN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "574-232-1471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.