ETHAN JAMES


Address: 515 Read St, Evansville, IN 47710-1739
Phone: 8124249291

ETHAN JAMES (NPI# 1134667900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134667900
Entity Type Individual
Full Name ETHAN JAMES
Credential MAT, ATC
Practice Address 515 Read St
Evansville
IN 47710-1739
Mailing Address 2900 Castle Cmns
Unit C
Newburgh
IN 47630-7108
Practice Telephone 8124249291
Practice Fax Number 8124212722
Mailing Telephone 9372063960
Enumeration Date 2017-02-01
Last Update Date 2017-02-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 405300000X Prevention Professional 36002454A IN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN STATE OF INDIANA 36002454A 01

Other Providers ETHAN JAMES

NPI Name Taxonomy Address Enumeration
1467962134 Ethan James Chiropractor 920 Ames St, Baldwin City, KS 66006 2017-10-06

Office Location

Street Address 515 READ ST
City EVANSVILLE
State IN
Zip Code 47710-1739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497758247 James W Butler Family Medicine 515 Read St, Evansville, IN 47710-1739 2005-05-24
1720695257 Jenna Marie Holzmeyer Specialist/Technologist 515 Read St, Evansville, IN 47710-1739 2020-09-29
1497361687 Makenzi Johns Specialist/Technologist 515 Read St, Evansville, IN 47710-1739 2020-09-22
1639788326 Jacob Jaco Physician Assistant 515 Read St, Evansville, IN 47710-1739 2020-07-28
1699300236 Daniel Evan Johnson Specialist/Technologist 515 Read St, Evansville, IN 47710-1739 2020-03-04
1053888636 Nicholas David Schaefer Specialist/Technologist 515 Read St, Evansville, IN 47710-1739 2018-10-31
1780151043 Tendo Sharon Nalyaali Registered Nurse 515 Read St, Evansville, IN 47710-1739 2018-10-25
1023584158 Brock Evan Potter Specialist/Technologist 515 Read St, Evansville, IN 47710-1739 2018-10-16
1942775838 James Bradley Gish Nurse Practitioner 515 Read St, Evansville, IN 47710-1739 2018-10-08
1669966123 Sarah C Booth Nurse Practitioner 515 Read St, Evansville, IN 47710-1739 2018-06-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659860971 Deaconess Clinic, Inc. Clinic/Center 309 N 1st Ave, Evansville, IN 47710 2018-05-02
1558858852 Amanda Marie Fox Nurse Practitioner 3838 N 1st Ave Ste E, Evansville, IN 47710 2018-04-23
1255708723 Peter Wulff Dentist 350 W Columbia St Ste 1-d, Evansville, IN 47710 2015-08-31
1427483999 Deanna Lynne Plummer Nurse Practitioner 4480 First Avenue, Evansville, IN 47710 2013-09-03
1124371067 Michael Wayne Daugherty Radiology 350 W Columbia St Ste 420, Evansville, IN 47710 2012-10-16
1316249105 Melisha Victoria Knowlden Counselor 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 2010-11-30
1609057835 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 621 W Columbia St, Evansville, IN 47710 2007-11-15
1023161478 Janet Marie Kelley Family Medicine 3838 N 1st Ave Ste C, Evansville, IN 47710 2007-01-19
1164594545 John David Diekmann Dentist 625 W Mill Rd, Evansville, IN 47710 2006-11-14
1407930977 Allan C Knapp Dds LLC Dentist 3012 N First Ave, Evansville, IN 47710 2006-10-24
Find all providers in zip 47710

Taxonomy Information

Taxonomy Code 405300000X
Grouping Other Service Providers
Classification Prevention Professional

Taxonomy Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871138487 On Target Health LLC Prevention Professional 3960 Southeastern Ave, Indianapolis, IN 46203-1500 2019-11-07
1457906067 Jennifer L Rubalcada Prevention Professional 1101 W Oakdale Dr, Fort Wayne, IN 46807-1747 2019-08-09
1932648839 Greta Slabach Prevention Professional 205 Southern Cross Dr, Middlebury, IN 46540 2017-02-13
1417492281 Carlos Bastardo Prevention Professional 11191 Shadylane Dr, Plymouth, IN 46563-8623 2017-01-03
1710547492 Kylie Elizabeth Martindale Prevention Professional 2610 Enterprise Dr, Anderson, IN 46013-9684 2019-06-16
1649705823 Nathan Reep Prevention Professional 4201 S Washington St, Marion, IN 46953-4974 2017-04-26
1952833022 Stephanie Bell Prevention Professional 2804 55th Pl, Suite C, Indianapolis, IN 46220-3585 2017-03-29

Competitor

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City EVANSVILLE
Zip Code 47710

Improve Information

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Dataset Information

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.

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