JUSTIN P HAWK (NPI# 1154709830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154709830 |
| Entity Type | Individual |
| Full Name | JUSTIN P HAWK |
| Credential | PA-C |
| Practice Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280 |
| Mailing Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280-1393 |
| Practice Telephone | 3178171200 |
| Practice Fax Number | 3178171220 |
| Mailing Telephone | 3178171200 |
| Mailing Fax Number | 3178171220 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001827A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Ronald Reagan Pkwy, Avon, IN 461237085 | 3172173540 | 3172173551 |
| 639 S Walker St Ste E, Bloomington, IN 474032124 | 8123334000 | 8123330611 |
| Street Address |
201 PENNSYLVANIA PKWY STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961053 | Jon Anthony Ramos | Physical Therapy Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2006-04-14 |
| 1760016026 | Samantha L. Saunders | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2020-02-26 |
| 1215572086 | Andrew C Gibson | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2019-11-15 |
| 1831759687 | Michael David Hornak | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2019-06-14 |
| 1407336217 | Nicholas W Chandler | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-08-21 |
| 1013496108 | Stuart Andrew Creasey | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-08-09 |
| 1841785516 | Amanda Leigh Smith | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-06-26 |
| 1265962070 | Gregory D Ramaker | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2017-06-14 |
| 1659726677 | Lindsey Stiffler | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2016-04-27 |
| 1063887115 | Eilish Mary Anderson | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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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.