PANKRATZ EYE INSTITUTE, LLC (NPI# 1154497964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154497964 |
| Entity Type | Organization |
| Organization Name | PANKRATZ EYE INSTITUTE, LLC |
| Other Organization Name | COLUMBUS EYE SUGERY CENTER, LLC, DBA PANKRATZ EYE INSTITUTE |
| Practice Address |
3135 Middle Road Columbus IN 47203-4472 |
| Practice Telephone | 8123737777 |
| Practice Fax Number | 8123730772 |
| Mailing Telephone | 8123737777 |
| Mailing Fax Number | 8123730772 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MICHAEL J PANKRATZ (MANAGING MEMBER) |
| Authorized Official Telephone | 8123737777 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
06-002663-1 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200318350A | 05 | |
| IN | ANTHEM PIN | 000000181745 | 01 |
| Other Name | Type Code |
|---|---|
| Columbus Eye Sugery Center, LLC, dba Pankratz Eye Institute | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871530642 | Pankratz Eye Institute, LLC | Ophthalmology | 3135 Middle Road, Columbus, IN 47203-4472 | 2006-06-01 |
| Street Address |
3135 MIDDLE ROAD |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265093 | Michael Joseph Pankratz | Ophthalmology | 3135 Middle Road, Columbus, IN 47203-4472 | 2006-05-24 |
| 1871530642 | Pankratz Eye Institute, LLC | Ophthalmology | 3135 Middle Road, Columbus, IN 47203-4472 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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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.