DR HOUSECALL (NPI# 1073783627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073783627 |
| Entity Type | Organization |
| Organization Name | DR HOUSECALL |
| Practice Address |
4008 E New York St Indianapolis IN 46201-3662 |
| Practice Telephone | 3176456303 |
| Practice Fax Number | 3178481922 |
| Mailing Telephone | 3176456303 |
| Mailing Fax Number | 3178481922 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | DR. TIMOTHY P. WALBRIDGE (OWNER/SOLE PROPRIETOR) |
| Authorized Official Telephone | 3176456303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01064701A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4921302 | 05 |
| Street Address |
4008 E NEW YORK ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46201-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
| 1710221833 | Candace D Clayton | Specialist/Technologist | 1500 E. Michigan St, Arsenal Tech West Gym Atr, Indianapolis, IN 46201 | 2012-11-15 |
| 1427211739 | Vanessa Antonie Flora | Physical Therapist | 1001 W 10th Street, Indianapolis, IN 46201 | 2008-07-07 |
| 1194993642 | Steve C. Linville | Counselor | 5049 E. 11th Street, Indianapolis, IN 46201 | 2008-02-19 |
| 1336355023 | Brenda Gay Barker | Family Medicine | 11 N Eastern Avenue, Good Samaritan Health Clinic, Indianapolis, IN 46201 | 2007-05-16 |
| 1447541347 | Kimberly Denise Wolfe | Registered Nurse | 1776 Brookside Ave, Indianapolis, IN 46201-1018 | 2011-04-26 |
| 1235645318 | Armaryllis Y Lewis | Counselor | 1402 Commerce Ave, Indianapolis, IN 46201-1141 | 2017-12-27 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1821330234 | Kindra Marie Hunckler | Doula | 1115 N Tacoma Ave, Indianapolis, IN 46201-1334 | 2013-03-24 |
| 1497279897 | Timothy Barnes | Respite Care | 1406 N Dearborn St, Indianapolis, IN 46201-1412 | 2017-07-28 |
| Find all providers in zip 46201 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| 1003817297 | Jodie R Harper | Internal Medicine | 1427 W 86th St, Suite 152, Indianapolis, IN 46260-2103 | 2005-08-10 |
| 1437582384 | Pierce Mobile Medicine, PC | Internal Medicine | 1300 E 86th St, Suite 14 126, Indianapolis, IN 46240-1997 | 2013-08-14 |
| 1417291808 | Lucinda Geis Dunaway | Internal Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2012-11-26 |
| 1336433432 | Ellen Wayman Kaehr | Internal Medicine | 720 Eskenazi Ave, Suite F2-600, Indianapolis, IN 46202-5187 | 2011-06-06 |
| 1932428836 | Kofi K Quist | Internal Medicine | 1633 N Capitol Ave, Ste 322, Indianapolis, IN 46202-1261 | 2010-05-18 |
| 1073774485 | Austin Nwaka | Internal Medicine | 3919 Meadows Dr, Indianapolis, IN 46205-3113 | 2008-06-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46201 |
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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.