DEKALB MEMORIAL HOSPITAL, INC (NPI# 1053615187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053615187 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
| Other Organization Name | DEKALB HEALTH MEDICAL GROUP |
| Practice Address |
1314 E 7th St Suite 201 Auburn IN 46706-2533 |
| Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
| Practice Telephone | 2609270400 |
| Practice Fax Number | 2609270440 |
| Mailing Telephone | 2609278105 |
| Mailing Fax Number | 2603330664 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | CRAIG POLKOW (CEO) |
| Authorized Official Telephone | 2609254600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100104110G | 05 |
| Other Name | Type Code |
|---|---|
| DEKALB HEALTH MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278824 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St Ste 103, Auburn, IN 46706-2533 | 2017-07-18 |
| 1871972869 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2015-05-22 |
| 1467843599 | Dekalb Memorial Hospital, Inc | Family Medicine | 1310 E 7th St, Suite C, Auburn, IN 46706-2534 | 2015-02-11 |
| 1962804559 | Dekalb Memorial Hospital, Inc | Otolaryngology | 433 W High Street, Bryan, OH 43506-1679 | 2014-09-25 |
| 1346669546 | Dekalb Memorial Hospital, Inc | Otolaryngology | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-04-15 |
| 1255768008 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite A, Auburn, IN 46706-2536 | 2013-10-10 |
| 1548505597 | Dekalb Memorial Hospital, Inc | Surgery | 1316 E 7th St, Suite 1, Auburn, IN 46706-2538 | 2012-12-03 |
| 1073886560 | Dekalb Memorial Hospital, Inc | Otolaryngology | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2012-02-15 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1114127834 | Dekalb Memorial Hospital, Inc | Pediatrics | 1314 E 7th St, Suite 204, Auburn, IN 46706-2533 | 2007-07-20 |
| Street Address |
1314 E 7TH ST SUITE 201 |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306722 | Thomas Paul Mason | Family Medicine | 1314 E 7th St, Ste 206, Auburn, IN 46706-2533 | 2005-06-16 |
| 1902232200 | Dekalb Health | Otolaryngology | 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 | 2013-09-18 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1881993806 | Auburn Home Medical | Durable Medical Equipment & Medical Supplies | 1314 E 7th St, Auburn, IN 46706-2535 | 2011-03-16 |
| 1437383817 | Tricia Lynn Post | Pharmacist | 1314 E 7th St, Auburn, IN 46706-2535 | 2009-05-13 |
| 1114127834 | Dekalb Memorial Hospital, Inc | Pediatrics | 1314 E 7th St, Suite 204, Auburn, IN 46706-2533 | 2007-07-20 |
| 1902975881 | Family Practice Associates | Family Medicine | 1314 E 7th St, #101, Auburn, IN 46706-2535 | 2006-11-07 |
| 1063523520 | Diane M Buchanan | Pharmacist | 1314 E 7th St, Suite 104, Auburn, IN 46706-2535 | 2006-08-31 |
| 1760595250 | Lori A. Mccomb | Pharmacist | 1314 E 7th St, Suite 104, Auburn, IN 46706-2535 | 2006-08-17 |
| 1083641849 | David C Lee | Specialist | 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
| 1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
| 1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
| 1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
| Find all providers in zip 46706 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780117200 | Dekalb Memorial Hospital Inc | Family Medicine | 1061 Smaltz Way, Auburn, IN 46706-9599 | 2017-04-11 |
| 1235492182 | Mark D Garcia | Family Medicine | 205 10th St Ne Ste 200, Auburn, WA 98002 | 2012-06-15 |
| 1508127796 | Family Health Clinic, Inc | Family Medicine | 1456 Opelika Rd, Auburn, AL 36830-3318 | 2012-06-04 |
| 1194052506 | Access Healthcare, Pllc | Family Medicine | 1402 Lake Tapps Parkway East, Suite F 106, Auburn, WA 98092-8157 | 2009-11-05 |
| 1407099286 | Primary Medicine Associates, LLC | Family Medicine | 890 N Dean Rd, Suite 500, Auburn, AL 36830-9440 | 2009-04-09 |
| 1952560765 | Sarat Meka | Family Medicine | 1518 Professional Parkway, Suite A, Auburn, AL 36830 | 2008-06-06 |
| 1952569626 | Johnny Dale Stackhouse | Family Medicine | 910 S Donahue Dr, Auburn, AL 36832-2975 | 2008-05-29 |
| 1831306000 | Louis James Fisher Jr. | Family Medicine | 8436 Wise Rd, Auburn, CA 95603-9734 | 2007-05-17 |
| 1255547352 | Armstrong Family Medicine PC | Family Medicine | 1310 E 7th St Ste G, Auburn, IN 46706-2518 | 2007-05-15 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
| Find all providers in AUBURN | ||||
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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.