NPIMap

Organization Active NPI

La Porte Regional Physician Network

Doing business as Northern In Cardiology

  • Cardiovascular Disease Physician
  • La Porte, IN
National Provider Identifier
1942402573
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01038951 Issued in IN
Legal business name
LA PORTE REGIONAL PHYSICIAN NETWORK
Doing business as
Northern In Cardiology
Practice address
901 Lincolnway
Suite 310
La Porte, IN 46350-3430
Phone
(219) 362-7506
Fax
(219) 362-1459
NPI assigned
Jun 5, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LA PORTE REGIONAL PHYSICIAN NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Rhonda Volk
Title
Executive Director
Phone
(219) 326-2485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01038951 IN Primary

Addresses

Primary practice location

901 Lincolnway
Suite 310
La Porte, IN 46350-3430

Mailing address

PO Box 1690
La Porte, IN 46352-1690
Phone (219) 326-2312

Other identifiers 1

IdentifierTypeStateIssuer
100165070YMedicaidIN

Other names 1

  • Northern In Cardiology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Psychiatric SV28 organizations share this tax ID, including this one
Part of
Lakeland Psychiatric SV

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1942402573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1690",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463521690",
            "telephone_number": "219-326-2312",
            "fax_number": "219-326-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LINCOLNWAY",
            "address_2": "SUITE 310",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503430",
            "telephone_number": "219-362-7506",
            "fax_number": "219-362-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE REGIONAL PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA PORTE REGIONAL PHYSICIAN NETWORK",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-326-2485"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165070Y",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern In Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.