DEKALB MEMORIAL HOSPITAL, INC (NPI# 1073886560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073886560 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
| Other Organization Name | DEKALB HEALTH MEDICAL GROUP |
| Practice Address |
1310 E 7th St Suite G Auburn IN 46706-2534 |
| Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
| Practice Telephone | 2609202000 |
| Practice Fax Number | 2609202005 |
| Mailing Telephone | 2609278105 |
| Mailing Fax Number | 2609278026 |
| Enumeration Date | 2012-02-15 |
| 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 |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100104110I | 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 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1053615187 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 | 2011-01-04 |
| 1114127834 | Dekalb Memorial Hospital, Inc | Pediatrics | 1314 E 7th St, Suite 204, Auburn, IN 46706-2533 | 2007-07-20 |
| Street Address |
1310 E 7TH ST SUITE G |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009024 | Allied Physicians Inc., D/b/a Fort Wayne Neurology | Psychiatry & Neurology | 1310 E 7th St, Suite 301, Auburn, IN 46706-2534 | 2005-10-31 |
| 1255875712 | Dekalb Memorial Hospital Inc | Audiologist | 1310 E 7th St, Ste B, Auburn, IN 46706-2534 | 2016-12-16 |
| 1467843599 | Dekalb Memorial Hospital, Inc | Family Medicine | 1310 E 7th St, Suite C, Auburn, IN 46706-2534 | 2015-02-11 |
| 1720312077 | Joshua Andy Button | Physician Assistant | 1310 E 7th St, Suite J, Auburn, IN 46706-2534 | 2009-09-18 |
| 1427203793 | Joy Lynne Martin | Registered Nurse | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2008-11-29 |
| 1265610158 | Northeast Indiana Urology PC | Durable Medical Equipment & Medical Supplies | 1310 E 7th St, Dekalb Medical Arts Bldg, Auburn, IN 46706-2534 | 2008-02-04 |
| 1922287531 | Mark S. Souder, M.d. | Family Medicine | 1310 E 7th St, Ste J, Auburn, IN 46706-2534 | 2007-10-31 |
| 1508063306 | Michelle Elaine Hileman | Advanced Practice Midwife | 1310 E 7th St, Suite M, Auburn, IN 46706-2534 | 2007-06-27 |
| 1316082746 | Auburn Obgyn PC | Obstetrics & Gynecology | 1310 E 7th St, Suite M, Auburn, IN 46706-2518 | 2007-02-21 |
| 1386715241 | Dekalb Memorial Hospital | Family Medicine | 1310 E 7th St, F, Auburn, IN 46706-2534 | 2006-11-13 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376296 | American Family Care, Inc. | General Practice | 1902 South College Street, Auburn, AL 36830-6615 | 2013-11-01 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1962606046 | Patrick J Buttarazzi | General Practice | 8 Hidden Brook Way, Auburn, NY 13021 | 2007-06-13 |
| 1427278001 | Auburn Family Medical Center, Inc., P.s. | General Practice | 202 N Division St # 2, Ste 405, Auburn, WA 98001-4939 | 2007-04-26 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1053303461 | Mark A Vaughan | General Practice | 3256 Professional Dr, Auburn, CA 95602-2412 | 2005-08-22 |
| 1104459411 | Medical Center Plus LLC | General Practice | 1685 E University Dr Ste E, Auburn, AL 36830-5217 | 2020-02-14 |
| 1770701104 | William D. Goudy D.o., PC | General Practice | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2007-04-23 |
| 1184754251 | Chun Yih Yang | General Practice | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2007-03-06 |
| 1720192560 | Auburn Medical Group, Inc | General Practice | 3280 Professional Dr, Auburn, CA 95602-2412 | 2006-08-18 |
| 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.