DEKALB MEMORIAL HOSPITAL, INC (NPI# 1114127834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114127834 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
| Other Organization Name | DEKALB HEALTH MEDICAL GROUP |
| Practice Address |
1314 E 7th St Suite 204 Auburn IN 46706-2533 |
| Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
| Practice Telephone | 2609253500 |
| Practice Fax Number | 2609253195 |
| Mailing Telephone | 2609278105 |
| Mailing Fax Number | 2603330664 |
| Enumeration Date | 2007-07-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100104110F | 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 |
| 1073886560 | Dekalb Memorial Hospital, Inc | Otolaryngology | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2012-02-15 |
| 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 |
| Street Address |
1314 E 7TH ST SUITE 204 |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306722 | Thomas Paul Mason | Family Medicine | 1314 E 7th St, Ste 206, Auburn, IN 46706-2533 | 2005-06-16 |
| 1902232200 | Dekalb Health | Otolaryngology | 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 | 2013-09-18 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1881993806 | Auburn Home Medical | Durable Medical Equipment & Medical Supplies | 1314 E 7th St, Auburn, IN 46706-2535 | 2011-03-16 |
| 1053615187 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 | 2011-01-04 |
| 1437383817 | Tricia Lynn Post | Pharmacist | 1314 E 7th St, Auburn, IN 46706-2535 | 2009-05-13 |
| 1902975881 | Family Practice Associates | Family Medicine | 1314 E 7th St, #101, Auburn, IN 46706-2535 | 2006-11-07 |
| 1063523520 | Diane M Buchanan | Pharmacist | 1314 E 7th St, Suite 104, Auburn, IN 46706-2535 | 2006-08-31 |
| 1760595250 | Lori A. Mccomb | Pharmacist | 1314 E 7th St, Suite 104, Auburn, IN 46706-2535 | 2006-08-17 |
| 1083641849 | David C Lee | Specialist | 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 | 2006-06-27 |
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| 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 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578002879 | Muhammad Arslan Rashid | Pediatrics | 37 W Garden St Ste 203, Auburn, NY 13021-2657 | 2017-02-20 |
| 1205977089 | Pediatric Clinic LLC | Pediatrics | 760 E Glenn Ave, Auburn, AL 36830-5017 | 2007-02-12 |
| 1356494504 | Angela Ciamarra Mancini | Pediatrics | Child Hlth Assoc., 105 Millbury St, Auburn, MA 01501 | 2007-01-19 |
| 1730278466 | Margarita Maria Guerra | Pediatrics | 2709 V Ct Se, Auburn, WA 98002-7079 | 2006-10-12 |
| 1689769176 | Pegah Khairolomour | Pediatrics | 3288 Bell Road, Auburn, CA 95603 | 2006-10-03 |
| 1073612479 | Katharine Garnett | Pediatrics | 105 Mullbury St, Auburn, MA 01501 | 2006-09-22 |
| 1588677298 | German Alberto Sanchez | Pediatrics | 202 N. Division Street, Plaza Two, Suite 202, Auburn, WA 98001 | 2006-08-14 |
| 1497789259 | Joseph Francis Howard | Pediatrics | Child Health Assoc, 105 Millbury St, Auburn, MA 01501 | 2006-07-10 |
| 1861450785 | Sara J Jacobson | Pediatrics | 105 Millbury St, Auburn, MA 01501-3205 | 2006-05-02 |
| 1619931219 | Beth W. Nauert | Pediatrics | 126 Auburn Ave Ste 300, Auburn, WA 98002-5082 | 2006-04-12 |
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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.