NORTHWEST INDIANA SPINAL SURGERY, P.C. (NPI# 1851494371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851494371 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INDIANA SPINAL SURGERY, P.C. |
| Practice Address |
9235 Broadway Merrillville IN 46410-7046 |
| Practice Telephone | 2197382255 |
| Practice Fax Number | 2197382060 |
| Mailing Telephone | 2197382255 |
| Mailing Fax Number | 2197382060 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. ELIAN M SHEPHERD (PRESIDENT) |
| Authorized Official Telephone | 2197382255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
01033705A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100195070A | 05 |
| Street Address |
9235 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700921996 | Elian Michael Shepherd | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2007-02-21 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541979 | Kirnjot Singh | Orthopaedic Surgery | 99 E 86th Ave, Suite D, Merrillville, IN 46410-6381 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
| 1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1144667635 | Indiana Spine Group, PC | Orthopaedic Surgery | 1115 N. Ronald Reagan Pkwy., Suite 148, Avon, IN 46123-6913 | 2013-05-24 |
| 1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
| 1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
| 1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
| 1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| 1215906029 | John M Gorup | Orthopaedic Surgery | 1345 Unity Place, Suite 310, Lafayette, IN 47905-5769 | 2006-03-15 |
| Find all providers with the same taxonomy | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on NORTHWEST INDIANA SPINAL SURGERY, P.C..
| 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.