| The Neuroscience Institute Of Nwi | |
|
600 Grant St Gary IN 46402-6099 | |
| (219) 886-4000 | |
| Not Available |
| Full Name | The Neuroscience Institute Of Nwi |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 Grant St, Gary, Indiana |
| Authorized Official Name and Position | Matt Doyle (CEO) |
| Authorized Official Contact | 2198864601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuroscience Institute Of Nwi 8701 Broadway Merrillville IN 46410-7035 Ph: (219) 738-5985 | The Neuroscience Institute Of Nwi 600 Grant St Gary IN 46402-6099 Ph: (219) 886-4000 |
| NPI Number | 1720290588 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9638063894 |
|---|---|
| Medicare Enrollment ID | O20080805000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290588 | NPI | - | NPPES |
| 200160530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Hilton M Hudson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20040702000867 |
| Provider Name | Valluvan Jeevanandam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285738344 PECOS PAC ID: 3274592555 Enrollment ID: I20050707000913 |
| Provider Name | Henrique E Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174505622 PECOS PAC ID: 1850321407 Enrollment ID: I20050815000303 |
| Provider Name | Mark A Mueller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043355407 PECOS PAC ID: 5698705176 Enrollment ID: I20050815000558 |
| Provider Name | Nancy Mary White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760429336 PECOS PAC ID: 9335161926 Enrollment ID: I20051223000032 |
| Provider Name | Christopher Thomas Salerno |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245259837 PECOS PAC ID: 8123024882 Enrollment ID: I20061020000081 |
| Provider Name | Peter G Mavrelis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326043597 PECOS PAC ID: 6103824115 Enrollment ID: I20070323000030 |
| Provider Name | Paul E Nyongani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447263173 PECOS PAC ID: 3274625942 Enrollment ID: I20070827000070 |
| Provider Name | John A Mirro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689678955 PECOS PAC ID: 2365440377 Enrollment ID: I20070907000504 |
| Provider Name | Tom N Galouzis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013050772 PECOS PAC ID: 0042203515 Enrollment ID: I20080806000364 |
| Provider Name | Daniel R Meldrum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861507253 PECOS PAC ID: 3678633468 Enrollment ID: I20081124000676 |
| Provider Name | Mridula Prasad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578524898 PECOS PAC ID: 2264570902 Enrollment ID: I20091117000482 |
| Provider Name | Jonathan Gumz Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588834881 PECOS PAC ID: 7911046099 Enrollment ID: I20091202000650 |
| Provider Name | Dennis L Streeter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912994773 PECOS PAC ID: 2466465950 Enrollment ID: I20091221000197 |
| Provider Name | Daksha Vyas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922190859 PECOS PAC ID: 0244366946 Enrollment ID: I20100406000244 |
| Provider Name | Aisha Shareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669632964 PECOS PAC ID: 9931236007 Enrollment ID: I20100421000474 |
| Provider Name | Reuben C Rutland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497802151 PECOS PAC ID: 3577756022 Enrollment ID: I20101018000369 |
| Provider Name | Amead Abd Alrahim Atassi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962565218 PECOS PAC ID: 5395742688 Enrollment ID: I20110624000018 |
| Provider Name | Susan M Schneider |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083781587 PECOS PAC ID: 7911905575 Enrollment ID: I20110819000147 |
| Provider Name | Kristy B Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316244528 PECOS PAC ID: 2062683972 Enrollment ID: I20110927000054 |
| Provider Name | Jamie Rudicel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285929059 PECOS PAC ID: 2668644238 Enrollment ID: I20111004000827 |
| Provider Name | Brendan P Frawley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225172083 PECOS PAC ID: 2567460579 Enrollment ID: I20111111000051 |
| Provider Name | Elizabeth H Magno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902860059 PECOS PAC ID: 7416978366 Enrollment ID: I20111130000540 |
| Provider Name | James V Siatras |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164672572 PECOS PAC ID: 9234397159 Enrollment ID: I20120223000672 |
| Provider Name | Eric M Woo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992905939 PECOS PAC ID: 4789778630 Enrollment ID: I20121031000346 |
| Provider Name | Ryan Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932538683 PECOS PAC ID: 5092936617 Enrollment ID: I20141024000845 |
| Provider Name | Abdussalam Choudry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386714046 PECOS PAC ID: 5395746184 Enrollment ID: I20150130000541 |
| Provider Name | Nassir Hm Monim Mansour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790923951 PECOS PAC ID: 1355666736 Enrollment ID: I20150529001148 |
| Provider Name | Thomas W Shin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326241266 PECOS PAC ID: 4981729241 Enrollment ID: I20150909002108 |
| Provider Name | Nicole Elizabeth Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701538 PECOS PAC ID: 6507174786 Enrollment ID: I20151008000507 |
| Provider Name | Sha Ron Jackson Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538370846 PECOS PAC ID: 3173764479 Enrollment ID: I20161004001582 |
| Provider Name | Sherry L Mosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730632175 PECOS PAC ID: 2567740970 Enrollment ID: I20161104001164 |
| Provider Name | Heather L Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084240 PECOS PAC ID: 0941570659 Enrollment ID: I20170727002607 |
| Provider Name | Christopher R Mussman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578837019 PECOS PAC ID: 9133414352 Enrollment ID: I20170929001995 |
| Provider Name | Mitchell Heston Kaufman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164536553 PECOS PAC ID: 6608979695 Enrollment ID: I20171102000187 |
| Provider Name | William Conte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467794271 PECOS PAC ID: 7012227770 Enrollment ID: I20171229002055 |
| Provider Name | Tareq Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144513359 PECOS PAC ID: 4880910512 Enrollment ID: I20180404001925 |
| Provider Name | Jocelyn Marie Logan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801962253 PECOS PAC ID: 5799819371 Enrollment ID: I20180430001898 |
| Provider Name | Daniel Ciaburri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710002910 PECOS PAC ID: 7416909213 Enrollment ID: I20180523000700 |
| Provider Name | David R Onsager |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396829156 PECOS PAC ID: 9638242290 Enrollment ID: I20180605002562 |
| Provider Name | Ileana Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477042505 PECOS PAC ID: 8729334677 Enrollment ID: I20180706000783 |
| Provider Name | Sandra M Wischmeyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902179088 PECOS PAC ID: 2860787017 Enrollment ID: I20180821003546 |
| Provider Name | Christine C Rohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083668909 PECOS PAC ID: 7911940184 Enrollment ID: I20181010003519 |
| Provider Name | Kristin Lynn Eckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508841370 PECOS PAC ID: 6002825890 Enrollment ID: I20191122002415 |
| Provider Name | Folake Aje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936114 PECOS PAC ID: 5890125546 Enrollment ID: I20200420002364 |
| Provider Name | Mary E Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386277564 PECOS PAC ID: 5395176788 Enrollment ID: I20200519003142 |
| Provider Name | Nicole A Bindl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083801153 PECOS PAC ID: 5799904736 Enrollment ID: I20200527002125 |
| Provider Name | Joseph Michael Arcidi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528024544 PECOS PAC ID: 4486619616 Enrollment ID: I20200825002750 |
| Provider Name | Darrian Renee Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073147989 PECOS PAC ID: 5597031500 Enrollment ID: I20210601000979 |
| Provider Name | James R Brorson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831240811 PECOS PAC ID: 3072702448 Enrollment ID: I20210809000355 |
| Provider Name | Christos Lazaridis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457497802 PECOS PAC ID: 8123191566 Enrollment ID: I20210810004070 |
| Provider Name | Shyam K Prabhakaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700815818 PECOS PAC ID: 8921063512 Enrollment ID: I20210811000502 |
| Provider Name | Ali Mansour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760822597 PECOS PAC ID: 4183927908 Enrollment ID: I20210823000561 |
| Provider Name | Scott Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043599152 PECOS PAC ID: 6406155662 Enrollment ID: I20210830000537 |
| Provider Name | Pooja Pulin Kinkhabwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194104059 PECOS PAC ID: 3476970377 Enrollment ID: I20210930002458 |
| Provider Name | Elisheva Ruth Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780970418 PECOS PAC ID: 9830402486 Enrollment ID: I20211018000173 |
| Provider Name | Surya R Kumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154470466 PECOS PAC ID: 0941299689 Enrollment ID: I20220202000270 |
| Provider Name | Morgan Southern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396444568 PECOS PAC ID: 6204201775 Enrollment ID: I20230414000968 |
| Provider Name | Takeyoshi Ota |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912167073 PECOS PAC ID: 5193898211 Enrollment ID: I20231215000910 |
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