DR. MARCUS ADAM TIELKER (NPI# 1124263215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124263215 |
Entity Type | Individual |
Full Name | DR. MARCUS ADAM TIELKER |
Credential | M.D. |
Practice Address |
8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 |
Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
Practice Telephone | 3178877880 |
Enumeration Date | 2008-12-04 |
Last Update Date | 2014-12-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01064146A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RR MEDICARE PTAN | P01210508 | 01 |
Street Address |
8075 N SHADELAND AVE SUITE 200 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46250-2693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
1780158352 | Kay Ellen Simon | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2019-01-17 |
1831667823 | Jaswinder Jalf | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-11-07 |
1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
1457887622 | Kelly Ann Lowe | Registered Nurse | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2017-05-10 |
1548713290 | Lacey Keller | Registered Nurse | 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 | 2016-07-29 |
1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
1780025247 | Community Health Network | General Acute Care Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2013-07-12 |
1780021758 | Kendra Marie Storer | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-30 |
1356787493 | Jennifer Ruth Heisick | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
Find all providers in zip 46250 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
1093789380 | Abboud Kawak | Internal Medicine | 1550 E County Line Rd Ste 325, Indianapolis, IN 46227-0967 | 2006-02-14 |
1487656385 | David B Cook | Internal Medicine | 8330 Allison Pointe Trl, Indianapolis, IN 46250-1682 | 2005-08-11 |
1457355968 | Frederick A Tolle | Internal Medicine | 6744 Robin Hood Ct, Indianapolis, IN 46227-7314 | 2005-06-13 |
1881698272 | Richard H Rhodes | Internal Medicine | 9025 Admirals Pointe Dr, Indianapolis, IN 46236-9050 | 2005-06-13 |
1083184873 | Impact Physician Group, Indiana, Pulmonary | Internal Medicine | 1700 W 10th St, Indianapolis, IN 46222-3802 | 2018-12-05 |
1114346822 | Francesca Duncan | Internal Medicine | 1120 W Michigan St, Gatch Hall Cl 285, Indianapolis, IN 46202 | 2014-04-09 |
1306263439 | Marcela Augusta Azevedo | Internal Medicine | 1120 W Michigan St # Cl285, Indianapolis, IN 46202 | 2014-03-26 |
1346588688 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Internal Medicine | 8333 Naab Rd, Suite 301, Indianapolis, IN 46260-5924 | 2013-01-22 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46250 |
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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.