DR. ADAM SERGIWA MD MPH MRCPDCH NPI 1740439496

NPI Information

NPI: 1740439496
Provider Name: DR. ADAM SERGIWA, MD, MPH, MRCP,DCH
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
9856 W 400 N
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 878-0882
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DR. Adam Sergiwa, MD, MPH, MRCP,DCH is a primary care clinic center in Michigan City, IN. DR. Adam Sergiwa, MD, MPH, MRCP,DCH NPI is 1740439496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9856 W 400 N
MICHIGAN CITY, IN
ZIP 46360-910
Phone: (219) 878-0882
Fax: (219) 878-0884

The enumeration date for this NPI number is 9/17/2008 and was last updated on 1/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		01049378A	INDIANA	No
2	208M00000X	Hospitalist		01049378A	INDIANA	No
3	261QP2300X	Clinic/Center	Primary Care	01049378A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200199090B	MEDICAID	INDIANA
2	G87881	MEDICARE UPIN	INDIANA
3	000000305691	OTHER	INDIANA	ANTHEM BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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