NEW BALANCE OCCUPATIONAL MEDICINE, LLC (NPI# 1184921652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184921652 |
| Entity Type | Organization |
| Organization Name | NEW BALANCE OCCUPATIONAL MEDICINE, LLC |
| Practice Address |
1574 E 85th Ave Merrillville IN 46410 |
| Mailing Address |
Po Box 10746 Merrillville IN 46411-0746 |
| Practice Telephone | 2197694400 |
| Practice Fax Number | 2197951419 |
| Mailing Telephone | 2197694400 |
| Mailing Fax Number | 2197951419 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | ORANU G IBEKIE (MD) |
| Authorized Official Telephone | 2197694400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
IN | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201016650A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1574 E 85th Ave, Merrillville, IN 46410 | 2197694400 | 2197951419 |
| Street Address |
1574 E 85TH AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190713 | Oranu G Ibekie | Family Medicine | 1574 E 85th Ave, Merrillville, IN 46410-8900 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134582059 | Workcare Occupational Health LLC | Family Medicine | 751 E 81st Place, Merrillville, IN 46410-5538 | 2016-03-29 |
| 1386766939 | Midwest Hospitalists Group, Inc. | Family Medicine | 751 E. 81st Place, Merrillville, IN 46410 | 2007-04-04 |
| 1154443752 | First Med, P.C. | Family Medicine | 751 East 81st Place, Merrillville, IN 46410 | 2007-04-04 |
| 1598839730 | St. Mary Medical Center Inc | Family Medicine | 200 E 80th Place, Ste 100, Merrillville, IN 46410-5671 | 2006-11-20 |
| 1497838593 | William John Pierce | Family Medicine | 210 E 90th Drive, Merrillville, IN 46410-8102 | 2006-10-23 |
| 1790871341 | Chiedu J. Nchekwube | Family Medicine | 5495 Broadway, Merrillville, IN 46410 | 2006-10-04 |
| 1316031081 | Healthworks Med Group of Indiana P C | Family Medicine | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2006-10-03 |
| 1043305683 | Brian H Weiss | Family Medicine | 300 West 80th Ave., Ste A, Merrillville, IN 46410-6258 | 2006-10-03 |
| 1538279831 | Merrillville Family Medical Center | Family Medicine | 270 East 90th Drive, Merrillville, IN 46410 | 2006-08-30 |
| 1609899533 | Childrens and Family Health Clinic | Family Medicine | 205 E 86th Ct, Merrillville, IN 46410 | 2006-07-25 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on NEW BALANCE OCCUPATIONAL MEDICINE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.