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WINFIELD FAMILY MEDICINE LLC NPI 1568413177


NPI Information

NPI: 1568413177
Provider Name: WINFIELD FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D1054087

Address:
9150 E 109TH AVE STE 2A
CROWN POINT, IN
ZIP 46307
Phone: (219) 226-1529
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WINFIELD FAMILY MEDICINE LLC is a family medicine in Crown Point, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WINFIELD FAMILY MEDICINE LLC NPI is 1568413177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9150 E 109TH AVE STE 2A
CROWN POINT, IN
ZIP 46307-686
Phone: (219) 226-1529
Fax: (219) 226-2994

The provider's authorized official is Brent Jacobus .
The authorized official title is Physician/owner and has the following contact phone number (219) 226-1529.

The CLIA number assigned to this NPI record is 15D1054087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 6/12/2015.


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
1207Q00000XFamily MedicineYes

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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