SURGICAL CONSULTANTS OF NWI (NPI# 1902877814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902877814 |
| Entity Type | Organization |
| Organization Name | SURGICAL CONSULTANTS OF NWI |
| Practice Address |
5521 W Lincoln Hwy Suite 215 Crown Point IN 46307-1097 |
| Practice Telephone | 2197366850 |
| Practice Fax Number | 2197366855 |
| Mailing Telephone | 2197366850 |
| Mailing Fax Number | 2197366855 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID ARNOLD BLEZA (VICE PRESIDENT) |
| Authorized Official Telephone | 2197366850 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01052161A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
5521 W LINCOLN HWY SUITE 215 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013466481 | Kathleen Decorte | Nurse Practitioner | 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307-1097 | 2016-09-27 |
| 1609322890 | Neurology Consultants of Northwest Indiana, P.C. | Psychiatry & Neurology | 5521 W Lincoln Hwy, Suite 300, Crown Point, IN 46307-1097 | 2016-08-29 |
| 1225495054 | Speech Pathology Associates LLC | Speech-Language Pathologist | 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307-1097 | 2016-01-25 |
| 1649637901 | Margaret Bazarko | Speech-Language Pathologist | 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307-1097 | 2016-01-18 |
| 1548409543 | Aberdeen Ventures, Ltd. | Clinic/Center | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 | 2009-02-13 |
| 1669632964 | Aisha Hasan Shareef | Psychiatry & Neurology | 5521 W Lincoln Hwy, Crown Point, IN 46307-1097 | 2008-06-11 |
| 1265600787 | Guy Bruce Waldo | Emergency Medicine | 5521 W Lincoln Hwy, Ste 1a, Crown Point, IN 46307-1097 | 2008-02-19 |
| 1285828350 | James Lance Holtcamp | Physician Assistant | 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307-1097 | 2007-08-31 |
| 1811092059 | Surgical Consultants of Northwest Indiana,p.c. | Specialist | 5521 W Lincoln Hwy, Suite 215, Crown Point, IN 46307-1097 | 2006-09-13 |
| 1265440390 | Allergy Asthma Care P.C. | Specialist | 5521 W Lincoln Hwy, Suite 100, Crown Point, IN 46307-1097 | 2006-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043355407 | Mark Allen Mueller | Surgery | 12800 Mississippi Pkwy Ste C100, Crown Point, IN 46307-6900 | 2007-02-21 |
| 1821093923 | Seferino Farias | Surgery | 12800 Mississippi Pkwy Ste C101, Crown Point, IN 46307-6901 | 2005-06-15 |
| 1235553454 | Surgical Consultants International, PC | Surgery | 12800 Mississippi Pkwy Ste C101, Crown Point, IN 46307-6901 | 2014-02-07 |
| 1578837019 | Christopher Ryan Mussman | Surgery | 12800 Mississippi Pkwy Ste C100, Crown Point, IN 46307-6900 | 2012-03-01 |
| 1992905939 | Eric M Woo | Surgery | 12800 Mississippi Pkwy, Suite C101, Crown Point, IN 46307-6900 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
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| City | CROWN POINT |
| Zip Code | 46307 |
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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.