Lisa Mussman (NPI# 1437424462, PAC ID# 9133429533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1437424462 |
| PAC ID by PECOS | 9133429533 |
| Professional Enrollment ID | I20151207001791 |
| Full Name | Lisa Mussman |
| Organization Legal Name | NORTH INDIANA EMERGENCY PHYSICIANS LLP |
| Address |
1900 Roosevelt Rd Suite 2000 Valparaiso IN 46383-2780 |
| Phone Number | 2192634900 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5496064669 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150002 | METHODIST HOSPITALS INC |
| 150035 | PORTER REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 Grant St, Gary, IN 46402-6001 | 2198864000 | CEP AMERICA LLC |
| 1900 Roosevelt Rd, Suite 2000, Valparaiso, IN 46383-2780 | 2192634900 | NORTH INDIANA EMERGENCY PHYSICIANS LLP |
| 85 E Us Hwy 6, Valparaiso, IN 46383-8947 | 2199838300 | NORTH INDIANA EMERGENCY PHYSICIANS LLP |
| Organization Legal Name | NORTH INDIANA EMERGENCY PHYSICIANS LLP |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Jackson | Emergency Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Fazal Mohammad | Family Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Georgios Filiadis | Emergency Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Neil D Shaffer | Emergency Medicine | North Indiana Emergency Physicians LLP | 3630 Willowcreek Rd, Portage, IN 46368-5075 |
| Renato M Durham | Emergency Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Stacy Lynn Taylor | Nurse Practitioner | North Indiana Emergency Physicians LLP | 85 E Us Hwy 6, Valparaiso, IN 46383-8947 |
| Alexandra Halkias | Nurse Practitioner | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Tricia Louise Burkins | Nurse Practitioner | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| James P Leonard | Emergency Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| David W Hill Jr. | Emergency Medicine | North Indiana Emergency Physicians LLP | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Street Address |
1900 ROOSEVELT RD SUITE 2000 |
| City | VALPARAISO |
| State | IN |
| Zip | 46383-2780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elana Tan | Emergency Medicine | North Indiana Emergency Physicians LLP | 1900 Roosevelt Rd, Suite 2000, Valparaiso, IN 46383-2780 |
| Ayoola S Awofadeju | Emergency Medicine | North Indiana Emergency Physicians LLP | 1900 Roosevelt Rd, Suite 2000, Valparaiso, IN 46383-2780 |
| Joseph M Marovich | Emergency Medicine | North Indiana Emergency Physicians LLP | 1900 Roosevelt Rd, Suite 2000, Valparaiso, IN 46383-2780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Beauvais | Chiropractic | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | |
| Sarah Anne Tsagris | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Richard W Ireland | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Caterina A Komyatte | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Madonna L Grabos | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Bryan Onuselogu | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Hector Marchand Jr. | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Helda Barakat | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Anand P Popli | Psychiatry | 1904 Chandana Trl, Valparaiso, IN 46383-2290 | |
| Find all physicians in zip 46383 | |||
| City | VALPARAISO |
| Zip Code | 46383 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | VALPARAISO + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.