BLOOMINGTON PHYSICIAN SERVICES PC


Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000
Phone: 8128255777

BLOOMINGTON PHYSICIAN SERVICES PC (NPI# 1164790341) 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) 1164790341
Entity Type Organization
Organization Name BLOOMINGTON PHYSICIAN SERVICES PC
Practice Address 4011 S Monroe Medical Park Blvd
Bloomington
IN 47403-8000
Mailing Address 200 Corporate Blvd
Suite 201
Lafayette
LA 70508-3870
Practice Telephone 8128255777
Mailing Telephone 8008939698
Enumeration Date 2011-12-02
Last Update Date 2012-02-03
Authorized Official Name DR. MARK MANSHIP (PRESIDENT)
Authorized Official Telephone 8008939698
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Office Location

Street Address 4011 S MONROE MEDICAL PARK BLVD
City BLOOMINGTON
State IN
Zip Code 47403-8000

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NPI Name Taxonomy Address Enumeration
1871587451 Linnea Pennycuff Dietitian, Registered 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2005-09-09
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1023448321 Northwest Hospitalist Physicians, LLP Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2013-11-22
1497185797 Northern Indiana Emergency Physicians, LLP Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2013-11-22
1821366832 Bloomington Emergency Group PC Physician Assistant 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2011-12-05
1104059468 Amandeep Singh Internal Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2009-09-02
1801046347 Monroe Hospital Ambulance Service Ambulance 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-09-21
1568627206 Monroe Medical Group Inc Anesthesiology 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447865159 Nichole Renee Sebesky Hospitalist 629 Park Dr, Franklin, IN 46131-7685 2020-09-10
1407239114 Thomas Ryan Cervone Hospitalist Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 2015-06-30
1104194547 Select Specialty Hospital - Evansville, LLC Hospitalist 400 Se 4th St, Evansville, IN 47713-1206 2011-12-13
1073826780 Indiana University Health Starke Hospital LLC Hospitalist 102 East Culver Road, Knox, IN 46534-2216 2010-07-22
1295863199 Jason S. Henderson Hospitalist 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 2007-03-01
1619087707 Shelene S. Ruggio Hospitalist 503 Steeplechase Dr, Auburn, IN 46706-9127 2006-08-30
1427161801 Krishna Datta Hospitalist 2520 E. Dupont Road, Fort Wayne, IN 46825 2006-08-17
1003884404 Srinivasu Kesa Hospitalist 3471 Muirfield Way, Carmel, IN 46032 2006-03-10
1154321099 Johnson Memorial Hospital Hospitalist 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 2005-07-21
1598387250 Dana Oberg Hospitalist 1915 Lake Ave, Plymouth, IN 46563-9366 2020-05-15
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Competitor

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City BLOOMINGTON
Zip Code 47403

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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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