INTERNAL MEDICINE CENTER OF NORTHWEST INDIANA PC (NPI# 1649254160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649254160 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE CENTER OF NORTHWEST INDIANA PC |
| Practice Address |
3535 Broadway Gary IN 46409-1316 |
| Practice Telephone | 2198844900 |
| Practice Fax Number | 2199807585 |
| Mailing Telephone | 2198844900 |
| Mailing Fax Number | 2199807585 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | DR. OKECHI N NWABARA (PRESIDENT) |
| Authorized Official Telephone | 2198844900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | YES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200030490 | 05 |
| Street Address |
3535 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46409-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457591 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 3535 Broadway, Gary, IN 46409-1316 | 2020-11-04 |
| 1699225698 | Edgewater Systems for Balanced Living, Inc. | Internal Medicine | 3535 Broadway, Gary, IN 46409-1316 | 2016-10-13 |
| 1629484456 | Onyinye Echeumuna | Student in an Organized Health Care Education/Training Program | 3535 Broadway, Gary, IN 46409-1316 | 2014-07-01 |
| 1184916181 | Karin Adine Warden-thomas | Nurse Practitioner | 3535 Broadway, Gary, IN 46409-1316 | 2011-05-09 |
| 1669456158 | Okechi N Nwabara | Internal Medicine | 3535 Broadway, Gary, IN 46409-1316 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316027998 | Nhi Home Base Service Corp. | Clinic/Center | 4795 Broadway, Gary, IN 46409 | 2006-10-17 |
| 1164891404 | Megan Burgess | Counselor | 4795 Broadway, Gary, IN 46409 | 2015-09-16 |
| 1366677213 | Merideth Krashonda Owens | Counselor | 4795 Broadway, Gary, IN 46409 | 2009-05-21 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
| 1215219084 | Broadway Dental Services | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2011-09-16 |
| 1528392156 | Tonya A. Harvey | Nurse Practitioner | 3195 Broadway, Gary, IN 46409-1006 | 2009-09-29 |
| 1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
| 1023166758 | Frank Edward Pate | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2007-01-08 |
| 1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
| Find all providers in zip 46409 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417657 | Raied Abdullah | Internal Medicine | 3229 Broadway, Suite 205, Gary, IN 46409-1036 | 2005-06-20 |
| 1699225698 | Edgewater Systems for Balanced Living, Inc. | Internal Medicine | 3535 Broadway, Gary, IN 46409-1316 | 2016-10-13 |
| 1396079406 | Mark Alan Washington | Internal Medicine | 600 Grant St, Gary, IN 46402-6001 | 2009-09-22 |
| 1316179625 | Five Apples Inpatient Specialist Indiana Corporation | Internal Medicine | 600 Grant St, Gary, IN 46402-6001 | 2009-08-20 |
| 1427146802 | Sandra Jan Drewry | Internal Medicine | 215 Broadway, Gary, IN 46402-1221 | 2006-10-10 |
| 1487684619 | Bernadette E. Aghaji | Internal Medicine | 2269 W 25th Ave, Gary, IN 46404-3367 | 2006-07-04 |
| 1669456158 | Okechi N Nwabara | Internal Medicine | 3535 Broadway, Gary, IN 46409-1316 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1194354530 | Mycare Express Clinic | Internal Medicine | 3608 W 80th Ln, Merrillville, IN 46410-5061 | 2020-04-07 |
| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
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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.