PROACTIVE MD MERRILLVILLE HEALTH CENTER
NPI 1073066866
Clinic/Center - Primary Care in Merrillville, IN

Active since July 27, 2016
387 E 84TH DR, MERRILLVILLE, IN 46410(812) 645-1892 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proactive Md Merrillville Health Center NPPES

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

PROACTIVE MD MERRILLVILLE HEALTH CENTER (NPI 1073066866) is a healthcare organization registered as a primary care in Merrillville, Indiana and active in the NPI registry since July 2016. The organization lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1073066866
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address387 E 84TH DRMerrillville, IN 46410-6484
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (864) 501-0751
Enumeration DateJuly 27, 2016
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1073066866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
387 E 84TH DR, Merrillville, IN 46410

Other Names 2

Doing Business AsProactive Md Merrillville Health Center
Doing Business AsProactive Md

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
387 E 84TH DR
MERRILLVILLE, IN 46410

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 Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1073066866. It was assigned to this organization in the NPPES registry on July 27, 2016. The provider is doing business as Proactive MD Merrillville Health Center and Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 387 E 84th Dr, Merrillville, IN 46410. The listed phone number is (812) 645-1892.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.