DR. JERRY BECKER (NPI# 1023091725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023091725 |
| Entity Type | Individual |
| Full Name | DR. JERRY BECKER |
| Credential | M.D. |
| Practice Address |
415 W Columbia St Evansville IN 47710-1656 |
| Practice Telephone | 8124649133 |
| Practice Fax Number | 8124640559 |
| Mailing Telephone | 8124649133 |
| Mailing Fax Number | 8124640559 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01019382A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64003940 | 05 | |
| IN | 100344130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601245 | Jerry R Becker | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| Street Address |
415 W COLUMBIA ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942651898 | Daniel Holland | Family Medicine | 415 W Columbia St, Suite 110, Evansville, IN 47710-1656 | 2016-06-22 |
| 1689023137 | Soheil Nandwani | Emergency Medicine | 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 | 2016-06-06 |
| 1578933214 | Susan M Widick | Social Worker | 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 | 2015-10-06 |
| 1205240736 | Julie Burkett | Family Medicine | 415 W Columbia St, Suite 110, Evansville, IN 47710-1656 | 2014-06-12 |
| 1124466040 | Nathan D Oakley | Family Medicine | 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 | 2013-06-13 |
| 1134462070 | Jennifer N Sitzman | Nurse Practitioner | 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 | 2013-03-28 |
| 1972882835 | Caitlin E Bradley | Social Worker | 415 W Columbia St, Ste 110, Evansville, IN 47710-1656 | 2011-08-10 |
| 1730404815 | Heartcare Health Systems, LLC | Internal Medicine | 415 W Columbia St, Evansville, IN 47710-1656 | 2010-04-01 |
| 1205061280 | Kathy R Marquis | Physician Assistant | 415 W Columbia St, Evansville, IN 47710-1656 | 2009-05-20 |
| 1578727475 | Deaconess Hospital, Inc | Psychologist | 415 W Columbia St, Ste 100, Evansville, IN 47710-1656 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780628628 | Asim Rehman | Internal Medicine | 901 St Mary Dr, Suite 300, Evansville, IN 47714-8005 | 2006-06-15 |
| 1578527263 | Edward N Moore | Internal Medicine | 520 Mary St., Suite 230, Evansville, IN 47710-1678 | 2006-04-12 |
| 1124026646 | John Oak | Internal Medicine | 1400 Professional Blvd, Evansville, IN 47714-8005 | 2005-07-08 |
| 1427055268 | Phillip Henry Behrens | Internal Medicine | 901 Saint Marys Dr Ste 300, Evansville, IN 47714-0521 | 2005-07-07 |
| 1518361518 | St Marys Medical Group, LLC | Internal Medicine | 3700 Washington Ave, Evansville, IN 47714-0541 | 2014-10-20 |
| 1114237682 | St Marys Ohio Valley Heartcare LLC | Internal Medicine | 3700 Washington Avenue, Evansville, IN 47714-0541 | 2010-10-18 |
| 1730404815 | Heartcare Health Systems, LLC | Internal Medicine | 415 W Columbia St, Evansville, IN 47710-1656 | 2010-04-01 |
| 1104099142 | Javier A Jurado | Internal Medicine | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2008-04-10 |
| 1548431281 | The Heart Group | Internal Medicine | 3801 Bellemeade Ave, Suite 300, Evansville, IN 47714-0100 | 2008-03-21 |
| 1497941728 | Gurtej Singh | Internal Medicine | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2007-09-20 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.