ALLIED PHYSICIANS OF MICHIANA, LLC (NPI# 1114259074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114259074 |
| Entity Type | Organization |
| Organization Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Other Organization Name | PEDIATRIC ASSOCIATES OF MICHIANA |
| Practice Address |
6301 University Commons Suite 320 South Bend IN 46635-1571 |
| Mailing Address |
6301 University Commons Suite 230 South Bend IN 46635-1571 |
| Practice Telephone | 5742717337 |
| Mailing Telephone | 5742512100 |
| Mailing Fax Number | 5742512151 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | SHERY ROUSSARIE (CEO) |
| Authorized Official Telephone | 5742512100 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200962980K | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Associates of Michiana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154832178 | Allied Physicians of Michiana, LLC | Surgery | 611 E Douglas Rd Ste 308, Mishawaka, IN 46545-1465 | 2017-10-17 |
| 1902200298 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 1919 Lake Ave, Suite 107b, Plymouth, IN 46563-7830 | 2014-10-15 |
| 1356745657 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 1120 W South St, Bremen, IN 46506-1849 | 2014-10-15 |
| 1295139723 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 6301 University Commons, Suite 100, South Bend, IN 46635-1571 | 2014-10-13 |
| 1013310192 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 2349 Lake Ave, Suite 201, Plymouth, IN 46563-7835 | 2014-10-02 |
| 1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
| 1265714778 | Allied Physicians of Michiana, LLC | Occupational Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-09-12 |
| 1336438647 | Allied Physicians of Michiana, LLC | Orthopaedic Surgery | 6301 University Commons, Suite 420, South Bend, IN 46635-1571 | 2011-04-07 |
| 1912232828 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2009-10-09 |
| 1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLIED PHYSICIANS OF MICHIANA, LLC | 6301 University Commons, Suite230, South Bend, IN 46635-1571 |
| Street Address |
6301 UNIVERSITY COMMONS SUITE 320 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132903 | Thomas Gerard Akre | Orthopaedic Surgery | 6301 University Commons, Ste 100, South Bend, IN 46635-1571 | 2005-05-24 |
| 1548652886 | Susan Snider | Nurse Practitioner | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2015-02-24 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1295139723 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 6301 University Commons, Suite 100, South Bend, IN 46635-1571 | 2014-10-13 |
| 1679819817 | Linda Charlebois | Audiologist | 6301 University Commons, Suite 360, South Bend, IN 46635-1571 | 2012-12-17 |
| 1902141237 | Randy Joseph Brush | Physician Assistant | 6301 University Commons, Suite 210, South Bend, IN 46635-1571 | 2012-11-27 |
| 1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
| 1487931184 | Raymond Rene Lucio Canda | Physical Therapist | 6301 University Commons, Suite 403, South Bend, IN 46635-1571 | 2011-11-08 |
| 1265714778 | Allied Physicians of Michiana, LLC | Occupational Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-09-12 |
| 1366723769 | Melissa Gutierrez | Physical Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
| 1407282833 | Jill O Noreuil | Pediatrics | 50665 Ravenna Ct, South Bend, IN 46628-9634 | 2013-09-17 |
| 1255958310 | Vpa PC | Pediatrics | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2020-07-06 |
| 1720605884 | Vpa PC | Pediatrics | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2020-07-06 |
| 1760923023 | Javier Galan | Pediatrics | 211 N Eddy St, South Bend, IN 46617-2808 | 2017-03-19 |
| 1366820359 | Bradley Balint | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601-1033 | 2015-05-11 |
| 1720474620 | Sarah O'connor | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601-1033 | 2015-04-08 |
| 1215322052 | Melanie Lillian Leveille Leusink | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601 | 2015-03-30 |
| 1245658004 | Bernadette Lourdes O'neil | Pediatrics | 615 N Michigan St, South Bend, IN 46601-1033 | 2014-03-30 |
| 1285070284 | Alicia Marie Wilson | Pediatrics | 211 N Eddy St, South Bend, IN 46617-3096 | 2013-05-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on ALLIED PHYSICIANS OF MICHIANA, 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.