Organization Active NPI

Gama PC Inc

  • Gynecology Physician
  • Munster, IN
National Provider Identifier
1952587776
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01030811A Issued in IN
Legal business name
GAMA PC INC
Practice address
9250 Columbia Ave
Ste 2a
Munster, IN 46321
Phone
(219) 513-1300
Fax
(219) 513-2385
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Jeffrey Yessenow, MD
Title
President
Phone
(219) 513-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 01030811A IN Primary

Addresses

Primary practice location

9250 Columbia Ave
Ste 2a
Munster, IN 46321

Mailing address

9250 Columbia Ave
Ste 2a
Munster, IN 46321
Phone (219) 513-1300

Other identifiers 1

IdentifierTypeStateIssuer
00000048616OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

1600 S Lake Park Ave
#1101
Hobart, IN 46342
Phone (219) 513-1300

317 W Commercial Ave
Lowell, IN 46356
Phone (213) 513-1300

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1952587776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "STE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-1300",
            "fax_number": "219-513-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "STE 2A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-1300",
            "fax_number": "219-513-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMA PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "YESSENOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-513-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01030811A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00000048616",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 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.