ALBERT WILLARDO MD NPI 1619155926

NPI Information

  • NPI: 1619155926
  • Provider Name: ALBERT WILLARDO MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 7150 INDIANAPOLIS BLVD
    HAMMOND, IN
    ZIP 46324
  • Phone: (219) 845-2030

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NPI Details

ALBERT WILLARDO MD is a general practice in Hammond, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ALBERT WILLARDO MD NPI is 1619155926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7150 INDIANAPOLIS BLVD
HAMMOND, IN
ZIP 46324-245
Phone: (219) 845-2030
Fax: (219) 989-0257

The provider's authorized official is Albert Willardo .
The authorized official title is Owner/physician and has the following contact phone number (219) 845-2030.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice01020554INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B28995MEDICARE UPININDIANA
2100161690AMEDICAIDINDIANA
3477710MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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