Paul Nyongani M.D.P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01029603A Issued in IN

Legal business name

PAUL NYONGANI M.D.P.C.

Practice address

6111 Harrison St Ste 252
Merrillville, IN 46410-2971

Phone

(219) 980-1348

Fax

(219) 980-1151

NPI assigned

Feb 25, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul E Nyongani, M.D.P.C.

Title

Physician

Phone

(219) 980-1348

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1942479985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 252",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102971",
            "telephone_number": "219-980-1348",
            "fax_number": "219-980-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 252",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102971",
            "telephone_number": "219-980-1348",
            "fax_number": "219-980-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL NYONGANI M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "NYONGANI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-980-1348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01029603A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200889160A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.