John Steven Midmore Md

LBN: J S Midmore Md Pc
John Steven Midmore Md is an health care organization with primary practice located at 3156 Willowcreek Rd , Portage IN 46368-4424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. J S Midmore Md Pc can be contacted via phone (219) 547-5999, or through Midmore, John Steven via phone (570) 988-0925.

Contact Information

Primary practice address
3156 Willowcreek Rd Portage IN 46368-4424
Phone: (219) 547-5999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Midmore, John Steven Doctor of Medicine (MD)
Phone: (570) 988-0925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0104887A Indiana

Profile Details

NPI number 1093927063
LBN Legal business name J S Midmore Md Pc
DBA Doing business as John Steven Midmore Md
Authorized official Midmore, John Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Oct 10th, 2014 - 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 1093927063 NPPES
Indiana MEDICAID 100340370B
Indiana Other DU8259

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