JASON ERIC WALLENTINE (NPI# 1154884328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154884328 |
| Entity Type | Individual |
| Full Name | JASON ERIC WALLENTINE |
| Credential | MD |
| Practice Address |
221 N Celia Ave Muncie IN 47303-4609 |
| Practice Telephone | 7657473141 |
| Practice Fax Number | 7657412977 |
| Mailing Telephone | 7657473141 |
| Mailing Fax Number | 7657412977 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
221 N CELIA AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815273 | Jeffrey C Bird | Family Medicine | 221 N Celia Ave, Muncie, IN 47303-4609 | 2005-10-20 |
| 1942839220 | Tate Roger Church | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-04-07 |
| 1932738846 | Christopher Mark Burns | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-04-02 |
| 1760011704 | Tobin Lee Eicher | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-04-02 |
| 1417585837 | Alexandria Thompson | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-03-31 |
| 1407484264 | Chelsea Faye Kolodziej | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-03-28 |
| 1396372512 | Rachel Margaret Townsley | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-03-26 |
| 1922635200 | Rachel Olsen | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-03-25 |
| 1265069074 | Vassilina Hinova | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2020-03-24 |
| 1245878172 | Garin B Bergeson | Student in an Organized Health Care Education/Training Program | 221 N Celia Ave, Muncie, IN 47303-4609 | 2019-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1154855229 | Unknown Harmanjot | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303-3433 | 2017-04-17 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1255703625 | Gabrielle Perryman | Student in an Organized Health Care Education/Training Program | 3755 N Marleon Dr, Muncie, IN 47304-7819 | 2015-10-26 |
| 1467823658 | Aubree Block | Student in an Organized Health Care Education/Training Program | 2313 W Sheffield Dr, Muncie, IN 47304-1262 | 2015-10-13 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| 1679700918 | So Ra Kim | Student in an Organized Health Care Education/Training Program | 405 S Morrison Rd, Apt # 99, Muncie, IN 47304-4043 | 2009-06-13 |
| Find all providers in MUNCIE | ||||
Please comment or provide details below to improve the information on JASON ERIC WALLENTINE.
| 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.