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Organization

Center for Myofascial Therapeutics and Aesthetics

NPI Record: ActiveNurse Practitioner
NPI1932750056
Saint John, Indiana

Provider's NPPES record last updated: August 21, 2023

Overview

Entity Type
Organization
NPI
1932750056
Primary Specialty
Nurse Practitioner
Practice Location
Saint John, Indiana
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:15 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X
  • Specialist/Technologist, Other

    Surgical Assistant

    Technologists, Technicians & Other Technical Service Providers

    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

    Taxonomy code 246ZC0007X

Practice Locations

Practice Location

9430 Wicker Ave

Saint John, Indiana 46373-9400

Phone: (219) 558-8068

Additional Practice Location

7749 West 105th Avenue

Crown Point, Indiana 46307

Phone: (219) 669-1034

Fax: (877) 822-9116

Additional Practice Location

901 Macarthur Blvd

Munster, Indiana 46321-2959

Phone: (219) 558-8068

Additional Practice Location

8701 Broadway

Merrillville, Indiana 46410-7035

Phone: (219) 558-8068

Additional Practice Location

929 Ridge Rd Ste 7

Munster, Indiana 46321-1769

Phone: (219) 558-8068

Fax: (877) 822-9116

Additional Practice Location

2020 E Columbus Dr Ste B

East Chicago, Indiana 46312-2830

Phone: (219) 397-8648

Fax: (877) 822-9116

Other Names

  • Brazzale Surgical Assisting LLCReported November 5, 2022

Record Information

Enumeration Date
September 20, 2019
Provider's NPPES Record Last Updated
August 21, 2023
Certification Date
August 21, 2023
NPISignal NPPES Dataset
August 2026

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