MARK NOOTENS MD PC NPI 1548591845

NPI Information

NPI: 1548591845
Provider Name: MARK NOOTENS, MD, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
931 FRAN LIN PKWY
MUNSTER, IN
ZIP 46321
Phone: (219) 513-0107
Get Directions

MARK NOOTENS, MD, PC is a cardiovascular disease internal medicine in Munster, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MARK NOOTENS, MD, PC NPI is 1548591845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

931 FRAN LIN PKWY
MUNSTER, IN
ZIP 46321-540
Phone: (219) 513-0107
Fax: (219) 513-0108

The provider's authorized official is Natalie Nootens .
The authorized official title is Office Manager and has the following contact phone number (219) 513-0107.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 3/16/2021.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	01042703	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	200043060B	MEDICAID	INDIANA
2	330467487	OTHER	ILLINOIS	IL MEDICAID
3	000000243924	OTHER	INDIANA	BCBS
4	1568491975	OTHER		PHYCISIAN NPI

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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