MULTICARE PHYSICIAN CENTER PC (NPI# 1386771012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386771012 |
| Entity Type | Organization |
| Organization Name | MULTICARE PHYSICIAN CENTER PC |
| Other Organization Name | D KATSOROS MD |
| Practice Address |
7863 Broadway Ste 135 Merrillville IN 46410 |
| Practice Telephone | 2197362047 |
| Practice Fax Number | 2197362048 |
| Mailing Telephone | 2195480837 |
| Mailing Fax Number | 2195480857 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | ADAM MLYNARCIK (VICE PRESIDENT) |
| Authorized Official Telephone | 2197126130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01049411 | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200195840B | 05 | |
| IN | BLUE CROSS BLUE SHIELD | 000000080178 | 01 |
| Other Name | Type Code |
|---|---|
| D Katsoros MD | Doing Business As Name - Organization |
| Street Address |
7863 BROADWAY STE 135 |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724377 | Eric F Schulte | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2005-07-19 |
| 1629448147 | Luz Catalina Escamilla | Social Worker | 7863 Broadway, Merrillville, IN 46410-5553 | 2015-09-26 |
| 1215278718 | Home-based Behavioral Solutions LLC | Case Management | 7863 Broadway, 220, Merrillville, IN 46410-5553 | 2013-03-07 |
| 1518268382 | Norther Indiana Intervention Services | Early Intervention Provider Agency | 7863 Broadway, Suite 210, Merrillville, IN 46410-5553 | 2010-11-10 |
| 1255654018 | Outreach Health Care LLC | Home Health | 7863 Broadway, Suite 126, Merrillville, IN 46410-5553 | 2010-03-09 |
| 1740518018 | Crystal D. Ferguson | Dentist | 7863 Broadway, Suite 111, Merrillville, IN 46410-5553 | 2009-11-25 |
| 1952543175 | Medici Health Care Providers, P.C. | Home Health | 7863 Broadway, Suite219, Merrillville, IN 46410-5553 | 2009-04-02 |
| 1972769529 | Eric F Schulte Md PC | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2008-08-04 |
| 1942494943 | Cardinal Home Health Services, Inc. | Home Health | 7863 Broadway, Suite 202, Merrillville, IN 46410-5553 | 2007-09-01 |
| 1487871190 | U.s Home Health Care, Inc. | Home Health | 7863 Broadway, Suite 234, Merrillville, IN 46410-5553 | 2007-04-20 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1033289129 | J K Kansal | Specialist | 8969 Broadway, Merrillville, IN 46410-7039 | 2006-11-08 |
| 1831117522 | Ayoola K Gomih | Specialist | 398 W 80th Pl, Merrillville, IN 46410-5432 | 2006-07-18 |
| 1285667550 | Suniti Medical Corporation | Specialist | 200 East 89th Avenue, Suite 2a, Merrillville, IN 46410-7319 | 2006-07-09 |
| 1972565323 | Li Fen Wang | Specialist | 9012 Connecticut Dr, Merrillville, IN 46410-7170 | 2006-04-03 |
| 1114926839 | Orthopaedics,inc. of Indiana | Specialist | 5587 Broadway, Merrillville, IN 46410 | 2005-07-14 |
| 1245233014 | Retina Associates, PC | Specialist | 8679 Connecticut St, Ste A, Merrillville, IN 46410-6383 | 2005-05-24 |
| 1104181692 | J.k.kansal Md PC | Specialist | 8969 Broadway, Merrillville, IN 46410-7039 | 2012-07-10 |
| 1902181233 | St. John Therapy Services, Inc. | Specialist | 9111 Broadway, Suite Mm, Merrillville, IN 46410-8122 | 2011-10-18 |
| 1134424351 | Img Associates LLC | Specialist | 99 E 86th Ave, Suite D, Merrillville, IN 46410-6381 | 2011-01-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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| 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.