NORTHSHORE HEALTH CENTERS
NPI 1497996839
Family Medicine in Lake Station, IN
NPI Status: Active since March 16, 2009
Contact Information
2490 CENTRAL AVE
LAKE STATION, IN
ZIP 46405
Phone: (219) 962-2760
Fax: (219) 962-1863
- Organization
- Family Medicine
- CLIA Number: 15D1096642
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-22-2027
About NORTHSHORE HEALTH CENTERS
This page provides the complete NPI Profile along with additional information for Northshore Health Centers, a primary care provider established in Lake Station, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1497996839 assigned on March 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Northshore Health Centers operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Janice Wilson Ceo (Ceo)
- NPI
- 1497996839
- Provider Name
- NORTHSHORE HEALTH CENTERS
- Entity Type
- Organization
- Location Address
- 2490 CENTRAL AVE LAKE STATION, IN 46405
- Location Phone
- (219) 962-2760
- Location Fax
- (219) 962-1863
- Mailing Address
- PO BOX 1430 PORTAGE, IN 46368
- Mailing Phone
- (219) 763-8112
- Mailing Fax
- (219) 962-1863
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2009
- Last Update Date
- 03-16-2009
- Code Navigator
A primary care provider (PCP) like Northshore Health Centers sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D1096642
- Facility Type
- Physician Office
- Certificate Effective Date
- February 23, 2025
- Certificate Expiration Date
- February 22, 2027
- Laboratory Director
- DR. LEONARD OSTROWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northshore Health Centers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NORTHSHORE HEALTH CENTERS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 9 | 9 | 6 | 8 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 18 | 9 | 12 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 8 + 9 + 1 + 2 + 8 + 6 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1497996839 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699776625 | PEGGY RUTH PAYONK LCSW Individual | Social Worker (Clinical) | 2490 CENTRAL AVE STE D LAKE STATION, IN 46405 (219) 962-4040 |
| 1558475855 | MRS. SHARON TUTLEWSKI FNP Individual | Nurse Practitioner (Family) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 962-2760 |
| 1629101555 | E. HELEN DAEHNKE LCSW Individual | Social Worker (Clinical) | 2490 CENTRAL AVE SUITE D LAKE STATION, IN 46405 (219) 962-4040 |
| 1366670663 | DR. AMY JANETTE MAXBERRY PHARM.D. Individual | Pharmacist | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 962-5909 |
| 1073617007 | FERNANDO H. RIVERA M.D. Individual | Family Medicine | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1518034586 | DR. RONALD SAMUEL LEMON II O.D. Individual | Optometrist | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1578563516 | SHAH ALAM CHOWDHURY M.D. Individual | Pediatrics | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1912992629 | JOHN A SOBOLEWSKI MD Individual | General Practice | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1720511785 | PATIENCE TIERI Individual | Nurse Practitioner (Family) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1487632527 | MR. KEITH MINTON RAMSEY M.D. Individual | Obstetrics & Gynecology | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1255477857 | REYNALDO MARTIN CALUAG MD Individual | Family Medicine | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1790992782 | DR. RAMADEVI SANKARAN MD Individual | Pediatrics | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1861636664 | NORTHSHORE HEALTH CENTERS, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1922644947 | KRISTINA KIRBY FLANAGAN NP-BC Individual | Nurse Practitioner (Family) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1366697427 | SAOUSSAN ALFAHEL MD Individual | Pediatrics | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1598184632 | WANDA AVERHART M.D. Individual | Pediatrics | 2490 CENTRAL AVE LAKE STATION, IN 46405 (216) 764-5399 |
| 1699280925 | PAULA KAYE BRANDT CERTIFIED NURSE MIDW Individual | Advanced Practice Midwife | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1215635115 | MRS. CATHERINE RAQUEL HALUSKA PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
| 1578320917 | SAMANTHA RUDER FNP-BC Individual | Nurse Practitioner (Family) | 2490 CENTRAL AVE LAKE STATION, IN 46405 (811) 221-9763 |
| 1760241319 | KAITLYN ANNE GILBERT FNP-C Individual | Nurse Practitioner | 2490 CENTRAL AVE LAKE STATION, IN 46405 (219) 763-8112 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497996839, enumerated in the NPI registry as an "organization" on March 16, 2009
The provider is located at 2490 Central Ave Lake Station, In 46405 and the phone number is (219) 962-2760
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 15D1096642 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 16, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.