ZORMEIER COSMETIC SURGERY AND LONGEVITY CENTER, LLC (NPI# 1104120104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104120104 |
| Entity Type | Organization |
| Organization Name | ZORMEIER COSMETIC SURGERY AND LONGEVITY CENTER, LLC |
| Practice Address |
302 Duran Dr Shelbyville IN 46176-1986 |
| Practice Telephone | 3173926200 |
| Practice Fax Number | 3173987526 |
| Mailing Telephone | 3173926200 |
| Mailing Fax Number | 3173987526 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | DR. MICHELE M ZORMEIER (PRINCIPAL) |
| Authorized Official Telephone | 3173926200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
01050761A | IN | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
01050761A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
302 DURAN DR |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797308 | Daniel P Duran | Chiropractor | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2006-02-02 |
| 1902465941 | Shelby Pain and Spine | Chiropractor | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2019-06-12 |
| 1104122159 | Shelby Medical Center, Inc. | Chiropractor | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2011-02-08 |
| 1417186487 | Duran Back Pain Chiropractic Clinic, Inc. | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2009-07-10 |
| 1710019609 | Michele M Zormeier | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417186487 | Duran Back Pain Chiropractic Clinic, Inc. | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073990867 | Ear, Nose, Throat, Sinus | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2015-04-30 |
| 1376882399 | Unity Healthcare, LLC | Otolaryngology | 1345 Unity Pl Ste 110a, Lafayette, IN 47905-5760 | 2013-02-12 |
| 1528040045 | Kyle D. Loy | Otolaryngology | 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909-9192 | 2005-11-18 |
| 1467851139 | Great Lakes Healthcare Specialists LLC | Otolaryngology | 900 Ridge Road, Suite E, Munster, IN 46321-1727 | 2014-08-19 |
| 1669702106 | St Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2010-01-06 |
| 1487892766 | Richard Kurtz Md Professional Corporation | Otolaryngology | 3351 N Meridian St, Suite 100, Indianapolis, IN 46208-4674 | 2009-01-26 |
| 1811152572 | St. Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 5500 Hohman Avenue, Suite 2a, Hammond, IN 46320-1942 | 2008-07-22 |
| 1275735581 | John S Gilbert | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2007-05-31 |
| 1861609216 | Jatin R Patel | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2007-05-16 |
| 1871715011 | Peter Nicholas Rigas II | Otolaryngology | 12188a N Meridian St, Suite 375, Carmel, IN 46032-4406 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
Please comment or provide details below to improve the information on ZORMEIER COSMETIC SURGERY AND LONGEVITY CENTER, 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.