Organization Active NPI

New Town Obstetrics & Gynecology, Inc.

  • Gynecology Physician
  • Gary, IN
National Provider Identifier
1952674129
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
NEW TOWN OBSTETRICS & GYNECOLOGY, INC.
Practice address
2200 Grant St
Ste 207
Gary, IN 46404-3439
Phone
(219) 944-7565
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Anthony O Iwuagwu, M.D.
Title
President
Phone
(219) 944-7565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X Primary
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X

Addresses

Primary practice location

2200 Grant St
Ste 207
Gary, IN 46404-3439

Mailing address

2200 Grant St
Ste 207
Gary, IN 46404-3439
Phone (219) 944-7565

Other identifiers 1

IdentifierTypeStateIssuer
200247520AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1952674129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRANT ST",
            "address_2": "STE 207",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043439",
            "telephone_number": "219-944-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANT ST",
            "address_2": "STE 207",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043439",
            "telephone_number": "219-944-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TOWN OBSTETRICS & GYNECOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "IWUAGWU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-944-7565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200247520A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.