NORTHWEST CENTER MEDICAL SERVICES CORP. (NPI# 1942488754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942488754 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CENTER MEDICAL SERVICES CORP. |
| Practice Address |
3400 Broadway Gary IN 46408-1101 |
| Practice Telephone | 2199806560 |
| Practice Fax Number | 2199806693 |
| Mailing Telephone | 2199806560 |
| Mailing Fax Number | 2199806693 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | JANICE ZUNICH (DIRECTOR, GENETICS CENTER) |
| Authorized Official Telephone | 2199806560 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
01034255A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUES SHIELD OF IL PROVIDER# | 911-15448 | 01 | |
| AETNA PROVIDER NUMBER | 2047365 | 01 | |
| IN | 100213240A | 05 | |
| BLUE CROSS BLUE SHIELD PIN# | 000000079455 | 01 | |
| IN | MEDICARE RAILROAD PIN | 370019259 | 01 |
| Street Address |
3400 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46408-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| 1669742565 | Stephanie Lynn Smith | Specialist/Technologist | 3400 Broadway, Savannah Center 217, Gary, IN 46408-1101 | 2012-01-09 |
| 1437427507 | Mary Ann O Post | Genetic Counselor, MS | 3400 Broadway, Indiana University Northwest, Gary, IN 46408-1197 | 2011-12-05 |
| 1235399726 | Northwest Center Medical Services Corp | Medical Genetics | 3400 Broadway, Gary, IN 46408-1101 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275788 | Brynn T Shelton | Home Health Aide | 4138 Ruthledge St, Gary, IN 46408 | 2017-06-27 |
| 1306243027 | Around The Clock Transportation | Non-emergency Medical Transport (VAN) | 3979 Cleveland St, Gary, IN 46408 | 2014-11-24 |
| 1710900956 | Home Health Services Inc | Home Health | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1023031978 | Nkechi Pauline Onyeukwu | Nurse Practitioner | 3814 Grant Street, Gary, IN 46408 | 2006-07-25 |
| 1093724007 | Geoffrey Okechukwu Onyeukwu | Family Medicine | 3814 Grant Street, Gary, IN 46408 | 2006-08-07 |
| 1629091863 | Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1281 W Ridge Road, Gary, IN 46408 | 2006-07-26 |
| 1952364648 | Trc - Indiana LLC | Clinic/Center | 4802 Broadway, Gary, IN 46408 | 2006-04-11 |
| 1073510244 | Broadway Foot Clinic Corporation | Podiatrist | 3290 Grant St, Suite 108, Gary, IN 46408-1015 | 2005-07-03 |
| 1205180676 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2012-11-06 |
| 1194830935 | Everest Healthcare Indiana, Inc. | Clinic/Center | 3290 Grant St, Gary, IN 46408-1015 | 2006-08-20 |
| Find all providers in zip 46408 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356764419 | Northeast Indiana Genetics, LLC | Medical Genetics | 7230 Engle Rd, Fort Wayne, IN 46804-2209 | 2014-01-27 |
| 1174751218 | Zineb Abdelkarim Ammous | Medical Genetics | 315 Lehman Ave, #c, Topeka, IN 46571-9476 | 2009-06-27 |
| 1841478336 | Patricia I Bader | Medical Genetics | 7230 Engle Rd, Suite 140, Fort Wayne, IN 46804-2234 | 2008-02-06 |
| 1861572117 | Brett Harrison Graham | Medical Genetics | 550 University Blvd, Iuhp Medical & Molecular Genetics, Aoc Suite 5001, Indianapolis, IN 46202 | 2006-10-17 |
| 1154431567 | Bryan E Hainline | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-08-30 |
| 1174555999 | Stephanie M Ware | Medical Genetics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-07-06 |
| 1831120229 | Bradley T Tinkle | Medical Genetics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-07-05 |
| 1780637058 | Indiana University Medical Genetics Service, Inc. | Medical Genetics | 975 W Walnut St, Indianapolis, IN 46202-5181 | 2006-05-18 |
| 1508822545 | David D Weaver | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-26 |
| 1487610051 | Wilfredo Torres-martinez | Medical Genetics | 975 W Walnut St, Ib 130, Indianapolis, IN 46202-5181 | 2006-04-24 |
| 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.