{
"Npi": {
"NPI": "1609874254",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9797 MASSACHUSETTS ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CROWN POINT",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46307-0278",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "219-756-5010",
"MailingAddressFaxNumber": "219-756-5106",
"FirstLinePracticeLocationAddress": "9797 MASSACHUSETTS ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CROWN POINT",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46307-0278",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-756-5010",
"PracticeLocationAddressFaxNumber": "219-756-5106",
"EnumerationDate": "07/08/2005",
"LastUpdateDate": "03/06/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GLASS",
"AuthorizedOfficialFirstName": "SUE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BILLING MANAGER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "219-937-5067",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "05-005727-1",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}