NPIMap

Organization Active NPI

La Porte Regional Physician Network

Doing business as Family Health Specialists PC

  • Family Medicine Physician
  • North Judson, IN
National Provider Identifier
1962535799
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LA PORTE REGIONAL PHYSICIAN NETWORK
Doing business as
Family Health Specialists PC
Practice address
414 Lane St
North Judson, IN 46366-1226
Phone
(574) 896-3444
Fax
(574) 896-3435
NPI assigned
Mar 13, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

414 Lane St
North Judson, IN 46366-1226

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100165070XMedicaidIN

Other names 1

  • Family Health Specialists PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laporte Regional Physician Network28 organizations share this tax ID, including this one

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1962535799",
    "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": "414 LANE ST",
            "city": "NORTH JUDSON",
            "state": "IN",
            "postal_code": "463661226",
            "telephone_number": "574-896-3444",
            "fax_number": "574-896-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PORTE REGIONAL PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165070X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Specialists PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Judson, 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.