MILLENNIUM ULTRASOUND LLC (NPI# 1093261992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093261992 |
Entity Type | Organization |
Organization Name | MILLENNIUM ULTRASOUND LLC |
Practice Address |
1149 Polk St Gary IN 46407-1120 |
Practice Telephone | 2194875736 |
Mailing Telephone | 2194875736 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2017-01-16 |
Authorized Official Name | MR. CHESTER STARKS JR. (OWNER) |
Authorized Official Telephone | 2198959695 |
Authorized Official Credential | RCIS,RCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
00039743 | IN | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1149 POLK ST |
City | GARY |
State | IN |
Zip Code | 46407-1120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790086460 | Chester Starks Jr. | Spec/Tech, Cardiovascular | 1149 Polk St, Gary, IN 46407-3808 | 2010-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
1891930913 | Angela Juanita Anderson | General Practice | 2353 Madison Street, Gary, IN 46407 | 2008-12-03 |
1548470537 | Rae Emerick | Speech-Language Pathologist | 2350 Taft Street, Gary, IN 46407 | 2007-05-22 |
1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
1477042505 | Ileana Green | Nurse Practitioner | 1400 Broadway, Gary, IN 46407 | 2018-05-03 |
1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
Find all providers in zip 46407 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972881910 | Kimberly Steele-mcneal | Spec/Tech, Cardiovascular | 10920 Kilworth Ct, Indianapolis, IN 46235-3580 | 2011-07-25 |
1134209943 | Kathleen Marie Mccoy | Spec/Tech, Cardiovascular | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2006-10-16 |
Please comment or provide details below to improve the information on MILLENNIUM ULTRASOUND LLC.
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.