CORTNEY SLOAN PALENCIA (NPI# 1114304466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114304466 |
| Entity Type | Individual |
| Full Name | CORTNEY SLOAN PALENCIA |
| Credential | D.O. |
| Practice Address |
5454 Hohman Ave Hammond IN 46320-1931 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2199322300 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 02006063A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 036149424 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20201 Crawford Ave, Olympia Fields, IL 60461 | 7087474000 | |
| 119 Macarthur Dr Apt 4213, Willowbrook, IL 605271985 | 7659939805 |
| Street Address |
5454 HOHMAN AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225491 | Franciscan Health Dyer & Hammond | Home Health | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-06-14 |
| 1518587310 | Kristen Brady | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-21 |
| 1932738093 | Oluwayomi Olalekan Omosebi | Physical Therapist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-02 |
| 1760012231 | Jacob Latham | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-01-23 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1568015394 | Danielle Rose Balzano | Registered Nurse | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-07-21 |
| 1386104826 | Daniela Lazarevic | Student in an Organized Health Care Education/Training Program | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-03-21 |
| 1629533872 | Thomas Blodgett | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-02-01 |
| 1073086252 | Scott T Fairhurst | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-01-10 |
| 1053848622 | Eshwar Nagraj Murthy | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2017-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427277888 | Spencer Paul Tucker | Emergency Medicine | 12163 E Adams Rd, Hammond, LA 70403-2103 | 2007-04-24 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1982600656 | Scott Henry David | Emergency Medicine | 42078 Veterans Ave Ste G, Hammond, LA 70403-1490 | 2005-06-27 |
| 1598110876 | Jonathon Zinkel | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| 1912386863 | Lucas Ainsworth | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403 | 2015-05-26 |
| 1649665233 | Dustin Lee Cotliar | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2015-04-01 |
| 1467845313 | Megan Marie Dodge | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2015-03-16 |
| 1295144491 | Patrick Sheehan | Emergency Medicine | 15790 Paul Vega Dr, Hammond, LA 70403 | 2014-08-13 |
| 1770993891 | Timothy Hattier | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2014-04-28 |
| 1073889242 | John Downing | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320 | 2012-04-01 |
| Find all providers in HAMMOND | ||||
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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.