LA PORTE REGIONAL PHYSICIAN NETWORK, INC (NPI# 1407090335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090335 |
| Entity Type | Organization |
| Organization Name | LA PORTE REGIONAL PHYSICIAN NETWORK, INC |
| Practice Address |
2000 Roosevelt Rd Suite 202 Valparaiso IN 46383-2800 |
| Mailing Address |
Po Box 1690 La Porte IN 46352-1690 |
| Practice Telephone | 2195318908 |
| Practice Fax Number | 2195480108 |
| Mailing Telephone | 2193262489 |
| Mailing Fax Number | 2193262584 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Authorized Official Name | RHONDA VOLK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2193262485 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 01033345 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100165070F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699909069 | La Porte Regional Physician Network, Inc | Neurological Surgery | 1300 State St, Suite 2a, La Porte, IN 46350-3185 | 2009-05-13 |
| Street Address |
2000 ROOSEVELT RD SUITE 202 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618078 | Maria O. Sacris | Obstetrics & Gynecology | 2000 Roosevelt Rd, Ste 207, Valparaiso, IN 46383-2802 | 2005-06-08 |
| 1902198831 | St Mary Medical Center Inc | General Practice | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2011-05-11 |
| 1750682233 | John D Roscoe Md PC | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2010-11-15 |
| 1497911697 | Jane Bradlaw | Emergency Medicine | 2000 Roosevelt Rd, Department of Emergency Medicine, Valparaiso, IN 46383-2800 | 2008-08-06 |
| 1780879114 | Chung Kiel Kim | Orthopaedic Surgery | 2000 Roosevelt Rd, Suite 104, Valparaiso, IN 46383-2800 | 2007-09-10 |
| 1952514895 | Sacris Medical Corporation PC | Obstetrics & Gynecology | 2000 Roosevelt Rd, Suite 207, Valparaiso, IN 46383-2800 | 2007-05-07 |
| 1245382498 | St Mary Medical Center Inc | Internal Medicine | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2007-01-17 |
| 1447310503 | John Dominic Roscoe Jr. | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2006-12-11 |
| 1811075948 | Associates In Neurology, P.C. | Psychiatry & Neurology | 2000 Roosevelt Rd, Ste 201, Valparaiso, IN 46383-2802 | 2006-11-02 |
| 1225130867 | Michael A Woods | Emergency Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619144391 | Ippei Takagi | Neurological Surgery | 813 Porter Campus Dr Ste Gh, Valparaiso, IN 46383-0089 | 2008-05-13 |
| 1699023747 | Jonathan Hobbs | Neurological Surgery | 85 E Us Highway 6 Ste 210, Valparaiso, IN 46383-8954 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146076 | T.s.shanks, Pllc | Neurological Surgery | 1919 State St Ste 250, New Albany, IN 47150-6805 | 2019-04-04 |
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1326465725 | Hayder Jaffer | Neurological Surgery | 200 E 89th Ave Ste 3a, Merrillville, IN 46410-7319 | 2014-03-24 |
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1659646917 | Shaheryar Faruq Ansari | Neurological Surgery | 8040 Clearvista Pkwy Ste 240, Indianapolis, IN 46256-4673 | 2012-03-19 |
| 1629367354 | Katrina Alise Ducis | Neurological Surgery | 705 Riley Hospital Dr Rm 1134, Indianapolis, IN 46202 | 2011-04-04 |
| 1639490857 | Karl Erach Balsara | Neurological Surgery | 705 Riley Hospital Dr # 1134, Indianapolis, IN 46202 | 2010-06-22 |
| 1265759955 | Chih-ta Lin | Neurological Surgery | 2525 W University Ave Ste 503, Muncie, IN 47303-3409 | 2010-04-21 |
| 1093030322 | Gregory J Loomis | Neurological Surgery | 1024 Dress Ln, Evansville, IN 47725-9596 | 2010-03-30 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.