DR. FRED R. PORTNEY (NPI# 1720023476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720023476 |
| Entity Type | Individual |
| Full Name | DR. FRED R. PORTNEY |
| Credential | M.D. |
| Practice Address |
7905 Calumet Ave Hammond Clinic LLC Munster IN 46321-1215 |
| Practice Telephone | 2198367214 |
| Practice Fax Number | 2198365842 |
| Mailing Telephone | 2198367214 |
| Mailing Fax Number | 2198365842 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01018555B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100161310A | 05 |
| Street Address |
7905 CALUMET AVE HAMMOND CLINIC LLC |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522148 | Maneka Kaul | Family Medicine | 7905 Calumet Ave, Munster, IN 46321-2549 | 2005-07-20 |
| 1205298213 | Nathan Scott Windsor | Podiatrist | 7905 Calumet Ave, Munster, IN 46321 | 2016-03-28 |
| 1982060653 | Charina Bernarte | Physical Therapist | 7905 Calumet Ave, Munster, IN 46321-2549 | 2016-01-11 |
| 1093188229 | Franciscan Physician Network | Family Medicine | 7905 Calumet Ave, Munster, IN 46321-2549 | 2015-11-10 |
| 1962802371 | Barbara Santay | Counselor | 7905 Calumet Ave, 2157, Munster, IN 46321-2549 | 2014-09-04 |
| 1619380755 | Sonali Patel | Optometrist | 7905 Calumet Ave, Munster, IN 46321-2549 | 2014-06-06 |
| 1225475528 | Vijay Krishna Adavelly | Physical Therapist | 7905 Calumet Ave, Munster, IN 46321-2549 | 2013-05-28 |
| 1285909481 | Ahmad Muhammad Salah | Internal Medicine | 7905 Calumet Ave, Munster, IN 46321-2549 | 2012-03-21 |
| 1316224785 | Todd Boyer | Physical Therapist | 7905 Calumet Ave, Munster, IN 46321 | 2011-11-13 |
| 1932498060 | Kristi Canul | Dietitian, Registered | 7905 Calumet Ave, Munster, IN 46321 | 2011-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720259146 | Lake Urology LLC | Urology | 929 Ridge Rd Ste 1, Munster, IN 46321-1769 | 2008-03-13 |
| 1790292878 | Munster Urololgical Associates, LLC | Urology | 9800 Valparaiso Dr, Munster, IN 46321-4040 | 2018-01-10 |
| 1033581962 | Northwest Indiana Medical Associates, LLC | Urology | 1644 45th Ave, Munster, IN 46321-3970 | 2015-10-30 |
| 1588806913 | Baxi Urology PC | Urology | 9250 Columbia Ave, Ste. #2a, Munster, IN 46321-3538 | 2009-03-31 |
| 1265529879 | Ramon Gaylon Halum Jr. | Urology | 800 Macarthur Blvd, Suite I, Munster, IN 46321 | 2006-10-06 |
| 1497790620 | Hassan Ismail Alsheik | Urology | 929 Ridge Rd, Ste 1, Munster, IN 46321-1751 | 2006-06-19 |
| 1639133648 | Howard M. Diamond, M.d., P.C. | Urology | 761 45th Ave, Suite 116, Munster, IN 46321-2893 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
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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.