IndividualActive
Austin Qualizza, PA-C
NPI 1639778970 · Surgical Physician Assistant · Chesterton, IN
Provider details
- NPI number
- 1639778970
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10003133 (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-5303
Approximate (ZIP-level) locationGet directions
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Additional practice locations (2)
- 500 E 109th AveCrown Point, IN 46307Phone: (219) 921-1444Fax: (219) 921-5303
- 833 W Lincoln Hwy Ste 110Schererville, IN 46375-1674Phone: (219) 921-1444Fax: (219) 921-5303
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.