| Family Specialty Medical Center, Llc | |
|
3747 45th St Highland IN 46322-3008 | |
| (219) 923-9200 | |
| (219) 922-5904 |
| Full Name | Family Specialty Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3747 45th St, Highland, Indiana |
| Authorized Official Name and Position | Wail E Asfour (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2199239200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Specialty Medical Center, Llc 3747 45th St Highland IN 46322-3008 Ph: (219) 923-9200 | Family Specialty Medical Center, Llc 3747 45th St Highland IN 46322-3008 Ph: (219) 923-9200 |
| NPI Number | 1881046308 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 0244524635 |
|---|---|
| Medicare Enrollment ID | O20160808002070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881046308 | NPI | - | NPPES |
| 01053031A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01053031A (Indiana) | Primary |
| Provider Name | Wail Asfour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720038680 PECOS PAC ID: 7618943598 Enrollment ID: I20040902000932 |
| Provider Name | Lori P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649770231 PECOS PAC ID: 0345598439 Enrollment ID: I20180806003425 |
| Provider Name | Ruba Azzam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356491385 PECOS PAC ID: 6406872902 Enrollment ID: I20210831001648 |
| Provider Name | Tyler Widger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679330542 PECOS PAC ID: 8527408376 Enrollment ID: I20240427001854 |
Dr Mary Tilak P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2241 45th St, Highland, IN 46322 Phone: 219-922-8051 Fax: 219-922-8608 | |
Family Health & Wellness Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8141 Kennedy Avenue, Highland, IN 46322 Phone: 219-838-5040 | |
219 Health Network, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 45th St, Ste 4, Highland, IN 46322 Phone: 219-922-6911 Fax: 219-922-6968 | |
Highland Medical Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9006 Indianapolis Blvd, Highland, IN 46322 Phone: 219-923-2241 | |
Infectious Disease Specialists, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9143 Indianapolis Blvd, Highland, IN 46322 Phone: 219-972-1547 Fax: 219-836-0034 | |
Medical Associates Of Highland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9696 Gordon Dr, Highland, IN 46322 Phone: 219-937-2511 Fax: 219-937-2522 | |
Trucare Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8437 Kennedy Ave, Highland, IN 46322 Phone: 219-662-3931 Fax: 219-663-6359 |