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MEDICAL SPECIALISTS INC. PC NPI 1568794147


NPI Information

NPI: 1568794147
Provider Name: MEDICAL SPECIALISTS INC., PC

Doing Business As: MEDICAL SPECIALISTS & CHILD LIFE CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10200 WICKER AVE
SAINT JOHN, IN
ZIP 46373
Phone: (219) 365-0970
Get Directions

MEDICAL SPECIALISTS INC., PC is an internal medicine in Saint John, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MEDICAL SPECIALISTS INC., PC NPI is 1568794147. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Specialists & Child Life Center.

The provider's business location address is:

10200 WICKER AVE
SAINT JOHN, IN
ZIP 46373-439
Phone: (219) 365-0970
Fax: (219) 365-1830

The provider's authorized official is Alexander A Stemer .
The authorized official title is President & Ceo and has the following contact phone number (219) 934-2461.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 2/28/2011.


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
1207N00000XDermatologyINDIANANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismINDIANANo
3207RP1001XInternal MedicinePulmonary DiseaseINDIANANo
4207RR0500XInternal MedicineRheumatologyINDIANANo
5207X00000XOrthopaedic SurgeryINDIANANo
6207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryINDIANANo
7208000000XPediatricsINDIANANo
8207R00000XInternal MedicineINDIANAYes

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
10391060004MEDICARE PININDIANA
2499500MEDICARE PININDIANA
30391060004MEDICARE NSCINDIANA
4100157820MEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.