MRS. HOLLY ELIZABETH RAIMONDI (NPI# 1093710105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093710105 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY ELIZABETH RAIMONDI |
| Credential | PA-C |
| Practice Address |
1400 S Lake Park Ave Ste 200 Hobart IN 46342-6791 |
| Practice Telephone | 2199476122 |
| Practice Fax Number | 2199476045 |
| Mailing Telephone | 2199476122 |
| Mailing Fax Number | 2199476045 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10000619A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 S LAKE PARK AVE STE 200 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689984 | Paul J Stanish | Surgery | 1400 S Lake Park Ave, Ste 200, Hobart, IN 46342-6791 | 2005-06-15 |
| 1144734849 | Kristen Nicole Mcging | Nurse Practitioner | 1400 S Lake Park Ave, Hobart, IN 46342-6790 | 2017-11-17 |
| 1003350067 | Tina Crum | Advanced Practice Midwife | 1400 S Lake Park Ave, Hobart, IN 46342-6790 | 2016-12-11 |
| 1609318922 | Megan Doheny | Nurse Practitioner | 1400 S Lake Park Ave, Suite 205, Hobart, IN 46342-6790 | 2016-11-17 |
| 1497103352 | Jennifer R Corsbie | Physician Assistant | 1400 S Lake Park Ave, Suite 200, Hobart, IN 46342-6790 | 2016-06-01 |
| 1144699927 | Kathy Nobles Fnp-c | Clinic/Center | 1400 S Lake Park Ave, Suite 405, Hobart, IN 46342-6790 | 2015-09-22 |
| 1467857136 | Jennifer Lynn Klaich | Nurse Practitioner | 1400 S Lake Park Ave, Suite 300, Hobart, IN 46342-6790 | 2014-10-23 |
| 1104252246 | Community Care Network, Inc | Urology | 1400 S Lake Park Ave, Suite 105, Hobart, IN 46342-6790 | 2013-09-20 |
| 1265752927 | David G. Gross, D.o., P.C. | Optometrist | 1400 S Lake Park Ave, Suite 103, Hobart, IN 46342-6790 | 2010-06-04 |
| 1932427523 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1400 S Lake Park Ave, Ste 205, Hobart, IN 46342-6790 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289957 | Jordan Nickley Nemer | Physician Assistant | 270 E Day Rd Ste 200, Mishawaka, IN 46545-3444 | 2019-11-07 |
| 1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
| 1710459839 | Alyssa Tripp | Physician Assistant | 1007 Lincolnway Rm 1107, La Porte, IN 46350-3201 | 2018-12-31 |
| 1992283899 | Kelsey Arnold | Physician Assistant | 275 W Bassett Rd Ste 2, Shelbyville, IN 46176-8575 | 2018-08-02 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1477924892 | Kristen Marie Ness | Physician Assistant | 13100 E 136th St Ste 2000, Fishers, IN 46037-9440 | 2015-10-12 |
| 1982945960 | Heather Bunnell | Physician Assistant | 3943 Hay Market Dr, Jeffersonville, IN 47130-8260 | 2013-03-15 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1427364926 | Rebecca Lou Autry | Physician Assistant | 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629 | 2010-08-23 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
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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.