Organization Active NPI

Laporte Pediatrics PC

  • Pediatrics Physician
  • Munster, IN
National Provider Identifier
1922183995
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAPORTE PEDIATRICS PC
Practice address
9337 Calumet Ave Ste a
Munster, IN 46321-5805
Phone
(219) 836-1855
Fax
(219) 836-0527
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Mrs. Donna Sue Gaekle
Title
Administrator
Phone
(219) 836-1855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

9337 Calumet Ave Ste a
Munster, IN 46321-5805

Mailing address

9337 Calumet Ave Ste a
Munster, IN 46321-5805
Phone (219) 836-1855

Other identifiers 1

IdentifierTypeStateIssuer
200432120MedicaidIN

Other names 1

  • Children's Clinic Munster Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1017820Laporte Pediatrics PC9337 Calumet Ave, Ste a, Munster, IN 46321Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory

Locations

442 Sand Creek Dr
Ste 103
Chesterton, IN 46304
Phone (219) 395-8242

2596 S US Highway 35
Knox, IN 46534
Phone (574) 772-8082

8300 Broadway
Ste C1
Merrillville, IN 46410

9337 Calumet Ave
Ste A
Munster, IN 46321
Phone (219) 689-9482

Practitioners & affiliated clinicians

Practitioners 2

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1922183995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463215805",
            "telephone_number": "219-836-1855",
            "fax_number": "219-835-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463215805",
            "telephone_number": "219-836-1855",
            "fax_number": "219-836-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPORTE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "GAEKLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-836-1855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200432120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Clinic Munster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.