JOHN R LABBAN (NPI# 1114005402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114005402 |
| Entity Type | Individual |
| Full Name | JOHN R LABBAN |
| Credential | M.D. |
| Practice Address |
650 S Walker St Bloomington IN 47403-2158 |
| Practice Telephone | 8123340698 |
| Practice Fax Number | 8123340950 |
| Mailing Telephone | 8123340698 |
| Mailing Fax Number | 8123340950 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01054787A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000321780 | 01 |
| IN | 200340320 | 05 |
| Street Address |
650 S WALKER ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767041 | Samantha Jo Crusenberry | Registered Nurse | 650 S Walker St, Bloomington, IN 47403-2158 | 2020-10-16 |
| 1396239968 | Rebecca Rachele Taylor | Nurse Practitioner | 650 S Walker St, Bloomington, IN 47403-2158 | 2018-06-18 |
| 1245544535 | Robert R Harris | Obstetrics & Gynecology | 650 S Walker St, Bloomington, IN 47403-2158 | 2010-07-29 |
| 1508040593 | John Labban Md PC | Specialist | 650 S Walker St, Bloomington, IN 47403-2158 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578931796 | Gailey Westlund | Specialist | 2120 W Old Shakopee Rd # 3, Bloomington, MN 55431-3000 | 2015-09-03 |
| 1063719169 | Robert A Spicer | Specialist | 5225 W Vernal Pike, Bloomington, IN 47404-9661 | 2011-02-25 |
| 1073815882 | Stephen G Moore | Specialist | 2749 E Covenanter Dr, Bloomington, IN 47401-5454 | 2010-11-30 |
| 1508172099 | Annabelle L Ogerio | Specialist | 1211 Broad Creek Rd, Bloomington, IL 61704-8536 | 2010-08-23 |
| 1366684086 | Sterling Jerel Shores | Specialist | 2301 Ge Rd Apt 12, Bloomington, IL 61704-3425 | 2009-03-26 |
| 1205083417 | Anne J Ford Msw Licsw LLC | Specialist | 9810 Edgewood Rd, Bloomington, MN 55438-1755 | 2008-08-20 |
| 1700066008 | Kab Medical Associates, Inc | Specialist | 2998 S Sare Rd, Bloomington, IN 47401-4330 | 2007-11-05 |
| 1164557799 | Biofeedback Training and Treatment Center, Inc. | Specialist | 5001 American Blvd W Ste 980, Biofeedback Training & Treatment Center, Inc., Bloomington, MN 55437-1164 | 2007-02-22 |
| 1093877151 | Alan B Somers | Specialist | 3800 Commodore Trl, Bloomington, IN 47408-9423 | 2006-12-15 |
| 1174692115 | Taehwan Kim | Specialist | 5342 Paola Cir, Bloomington, MN 55437-1052 | 2006-11-06 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.