NEW BALANCE OCCUPATIONAL MEDICINE, LLC – NPI #1184921652
Family Medicine

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.

NEW BALANCE OCCUPATIONAL MEDICINE, LLC is a provider located in MERRILLVILLE, IN. NPPES has assigned the NPI number 1184921652 to NEW BALANCE OCCUPATIONAL MEDICINE, LLC on February 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Apr 24, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW BALANCE OCCUPATIONAL MEDICINE, LLC below.

NPI Profile for
NEW BALANCE OCCUPATIONAL MEDICINE, LLC

NPI Number
1184921652
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEW BALANCE OCCUPATIONAL MEDICINE, LLC
Primary location
1574 E 85TH AVE
MERRILLVILLE, IN 46410
Phone: (219) 769-4400 Fax: (219) 795-1419
1 Other location(s):
1574 E 85th Ave
Merrillville, IN 46410
Phone: (219) 769-4400
Fax: (219) 795-1419
Mailing address
PO BOX 10746
MERRILLVILLE, IN 46411-0746
Phone: (219) 769-4400 Fax: (219) 795-1419
Organization Subpart
No
Authorized Official
ORANU IBEKIE
MD
Phone: (219) 769-4400
Updated
Identifiers

Identifiers for NEW BALANCE OCCUPATIONAL MEDICINE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN201016650A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN
2083X0100X
- Preventive Medicine / Occupational Medicine
IN
207QA0401X
- Family Medicine / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.