Michiana Adult Medical Specialists

LBN: Alexander C. Gatzimos Md Jd
Michiana Adult Medical Specialists is an health care organization with primary practice located at 2050 E Ireland Rd , South Bend IN 46614-2909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Alexander C. Gatzimos Md Jd can be contacted via phone (574) 222-2359, or through Gatzimos, Alexander C. via phone (574) 249-8663.

Contact Information

Primary practice address
2050 E Ireland Rd South Bend IN 46614-2909
Phone: (574) 222-2359
Fax: (574) 222-2365
Website:
Map and Directions
Authorized official contact:
Name: Gatzimos, Alexander C. MD, JD
Phone: (574) 249-8663

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01036818A Indiana

Profile Details

NPI number 1154663763
LBN Legal business name Alexander C. Gatzimos Md Jd
DBA Doing business as Michiana Adult Medical Specialists
Authorized official Gatzimos, Alexander C. MD, JD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2013
Last updated Oct 1st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154663763 NPPES
Indiana MEDICAID D95574

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