Northwest Center Medical Services Corp.

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

01034255A Issued in IN

Legal business name

NORTHWEST CENTER MEDICAL SERVICES CORP.

Practice address

3400 Broadway
Gary, IN 46408-1101

Phone

(219) 980-6560

Fax

(219) 980-6693

NPI assigned

Feb 4, 2008

Last updated

Jun 9, 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

Janice Zunich, M.D.

Title

Director, Genetics Center

Phone

(219) 980-6560

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1942488754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081101",
            "telephone_number": "219-980-6560",
            "fax_number": "219-980-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081101",
            "telephone_number": "219-980-6560",
            "fax_number": "219-980-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CENTER MEDICAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "ZUNICH",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR, GENETICS CENTER",
        "authorized_official_telephone_number": "219-980-6560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "IN",
            "license": "01034255A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2047365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213240A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "370019259",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUES SHIELD OF IL PROVIDER#",
            "identifier": "911-15448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN#",
            "identifier": "000000079455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Night Owl Inc. Home Care
• Northlake International Medical Laboratory
• Northshore Health Centers, Inc (NorthShore Gary Pharmacy)
• Northshore Health Centers, Inc. (NorthShore Gary Health Center)
• Northwest Center Medical Services Corp
• Northwest Emergency Associates, LLC
• Northwest Procedures & Medical Center PC
• Northwest Surgical Center, Inc.
• Dawn Marie Nowak, CADAC II, LAC, MA
• Alicia K Nunn, MSW, LCSW

• Clinical Genetics (M.D.) Physician in Gary, IN
• Providers in Gary, IN by specialty
• Clinical Genetics (M.D.) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.