Organization Active NPI

Merrillville Clinic PC

  • Gynecology Physician
  • Merrillville, IN
National Provider Identifier
1972650950
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01027935 Issued in IN
Legal business name
MERRILLVILLE CLINIC PC
Practice address
7899 Taft St
Merrillville, IN 46410-5284
Phone
(219) 769-4333
NPI assigned
Jan 4, 2007
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Ms. Kelley L Ramsey
Title
Billing Manager
Phone
(219) 331-9615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 01027935 IN Primary

Addresses

Primary practice location

7899 Taft St
Merrillville, IN 46410-5284

Mailing address

7899 Taft St
Merrillville, IN 46410-5284
Phone (219) 769-4333

Other identifiers 1

IdentifierTypeStateIssuer
100468160AMedicaidIN

National Provider Directory

National Provider Directory

Locations

7899 Taft St
Merrillville, IN 46410
Phone (219) 331-9615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1972650950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7899 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105284",
            "telephone_number": "219-769-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7899 TAFT ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105284",
            "telephone_number": "219-769-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLVILLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-331-9615",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01027935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468160A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.