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INDIANA PHLEBOLOGY PC NPI 1962508853


NPI Information

NPI: 1962508853
Provider Name: INDIANA PHLEBOLOGY PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
371 E 84TH DR STE 371
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-7165
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INDIANA PHLEBOLOGY PC is a surgery in Merrillville, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. INDIANA PHLEBOLOGY PC NPI is 1962508853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

371 E 84TH DR STE 371
MERRILLVILLE, IN
ZIP 46410-484
Phone: (219) 736-7165

The provider's authorized official is Cynthia Jones .
The authorized official title is Credentialing and has the following contact phone number (630) 725-2737.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1202K00000XPhlebologyINDIANANo
22085R0204XRadiologyVascular & Interventional RadiologyINDIANANo
32086S0129XSurgeryVascular SurgeryINDIANANo
4208600000XSurgeryINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DO6229OTHERINDIANAMEDICARE RAILROAD

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: 11/14/2023

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