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NEIL WANGSTROM MD PC
NPI 1043307978
Otolaryngology in La Porte, IN

Active since October 10, 2006
304 DETROIT ST, LA PORTE, IN 46350(219) 325-3770(219) 325-8181 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neil Wangstrom Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEIL WANGSTROM MD PC (NPI 1043307978), doing business as Northwest Indiana Ent Assoicates, is a healthcare organization registered as an otolaryngology in La Porte, Indiana and active in the NPI registry since October 2006. The organization lists Robin M Henrich, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043307978
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameNEIL WANGSTROM MD PC
Location Address304 DETROIT STLa Porte, IN 46350-2473
Mailing Address304 Detroit StLa Porte, IN 46350-2473 · (219) 325-3770 · Fax (219) 325-8181
Phone(219) 325-3770
Fax(219) 325-8181
Organization SubpartNo
Authorized OfficialRobin M HenrichPractice Manager · (219) 325-3770
Enumeration DateOctober 10, 2006
Last NPPES UpdateSeptember 29, 2009
✔ NPI 1043307978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01038858
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAudiologistTaxonomy 231H00000X · License 23002292A (IN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71001701A (IN), 71001740A (IN)
304 DETROIT ST, La Porte, IN 46350
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Other Names 1

Former Legal Business NameNorthwest Indiana Ent Assoicates

Other Identifiers 10

Medicare UPINQ60281IN
Medicaid100165330AIN
Medicaid200482190IN
Other000000105404IN · Anthem
Medicare PIN224040CIN
Medicare PIN224040IN
Medicaid100165330IN
Medicare PIN224040AIN
Medicaid200245050AIN
Medicare PIN224040DDIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE JACQUELYN ACCORSI PA-C
Physician Assistant
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770
DR. NEIL WILLIAM WANGSTROM M.D.
Otolaryngology
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770
MRS. JERRY A MONTGOMERY MSW ACSW LCSW
Social Worker (Clinical)
304 DETROIT ST, SUITE A
LA PORTE, IN 46350
Laporte County (219) 617-0526
MRS. JESSICA L NICHOLS MS, CCC-A
Audiologist
304 DETROIT ST
LA PORTE, IN 46350
Laporte County (219) 325-3770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neil Wangstrom MD PC's NPI number?

The NPI number for Neil Wangstrom MD PC is 1043307978. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider was formerly known as Northwest Indiana Ent Assoicates.

Where is Neil Wangstrom MD PC located?

Neil Wangstrom MD PC is located at 304 Detroit St, La Porte, IN 46350. The listed phone number is (219) 325-3770.

What is Neil Wangstrom MD PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Neil Wangstrom MD PC was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.