MEDICARE: SURGICAL CONSULTANTS OF NWI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	01052161A	IN

General Provider Information

NPI Number	:	1902877814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL CONSULTANTS OF NWI

Provider Business Mailing Address
First Line	:	5521 W LINCOLN HWY
Second Line	:	SUITE 215
City	:	CROWN POINT
State	:	IN
Zip	:	46307-1097
Country	:	US
Telephone Number	:	219-736-6850
Fax Number	:	219-736-6855

Provider Business Practice Location Address
First Line	:	5521 W LINCOLN HWY
Second Line	:	SUITE 215
City	:	CROWN POINT
State	:	IN
Zip	:	46307-1097
Country	:	US
Telephone Number	:	219-736-6850
Fax Number	:	219-736-6855

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. DAVID ARNOLD BLEZA
Credential	:	M.D.
Telephone Number	:	219-736-6850

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1780844910 — CROWN MEDICARE INC.
Practice Location Address:

2243 S 24TH AVE
BROADVIEW, IL
60155-3820

Practice Phone: 708-338-3305
Practice Fax: 708-338-3306

1326907072 — REINA SOTO RBT
Practice Location Address:

5521 W LINCOLN HWY
CROWN POINT, IN
46307-1097

Practice Phone: 219-359-3272
Practice Fax:

1881552230 — TALIA BESHEARS RBT
Practice Location Address:

5521 W LINCOLN HWY
CROWN POINT, IN
46307-1097

Practice Phone: 219-359-3272
Practice Fax:

1811092059 — SURGICAL CONSULTANTS OF NORTHWEST INDIANA ,P.C.
Practice Location Address:

5521 W LINCOLN HWY , SUITE 215
CROWN POINT, IN
46307-1097

Practice Phone: 219-736-6850
Practice Fax: 219-736-6855

1285828350 — MR. JAMES LANCE HOLTCAMP P.A.
Practice Location Address:

5521 W LINCOLN HWY , SUITE 100
CROWN POINT, IN
46307-1097

Practice Phone: 219-756-6100
Practice Fax: 219-756-6111

1265600787 — DR. GUY BRUCE WALDO MD
Practice Location Address:

5521 W LINCOLN HWY , STE 1A
CROWN POINT, IN
46307-1097

Practice Phone: 219-769-8284
Practice Fax:

Directions to “SURGICAL CONSULTANTS OF NWI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.