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PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C. NPI 1326114463


NPI Information

NPI: 1326114463
Provider Name: PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C.
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1101 GLENDALE BLVD
SUITE 102
VALPARAISO, IN
ZIP 46383
Phone: (219) 464-9054
Get Directions

PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C. is a critical care medicine internal medicine in Valparaiso, IN. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PORTER COUNTY PULMONARY AND CRITICAL CARE MEDICINE P.C. NPI is 1326114463. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 GLENDALE BLVD
SUITE 102
VALPARAISO, IN
ZIP 46383-767
Phone: (219) 464-9054
Fax: (219) 465-1749

The provider's authorized official is Douglas Adolph Mazurek .
The authorized official title is President and has the following contact phone number (219) 464-9054.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


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
1207RC0200XInternal MedicineCritical Care Medicine01038566INDIANAYes
2207RP1001XInternal MedicinePulmonary Disease01038566INDIANAX

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

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