MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION (NPI# 1184719155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184719155 |
| Entity Type | Organization |
| Organization Name | MEDICAL OF DUBOIS A PROFESSIONAL CORPORATION |
| Practice Address |
695 3rd Ave Jasper IN 47546-3602 |
| Practice Telephone | 8126346824 |
| Practice Fax Number | 8128482277 |
| Mailing Telephone | 8126346824 |
| Mailing Fax Number | 8124811056 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | THOMAS E FIELD (PRESIDENT) |
| Authorized Official Telephone | 8126346824 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 01025667 | IN | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
01025667 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | DF6038 | 01 |
| IN | ANTHEM | 000000310221 | 01 |
| Street Address |
695 3RD AVE |
| City | JASPER |
| State | IN |
| Zip Code | 47546-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437120011 | Kenneth Alvin O'beirne | Family Medicine | 695 3rd Ave, Jasper, IN 47546-3602 | 2006-01-31 |
| 1588226856 | Michael James Snell | Nurse Practitioner | 695 3rd Ave, Jasper, IN 47546-3602 | 2019-07-08 |
| 1053861195 | Elizabeth Ann Sanders | Nurse Practitioner | 695 3rd Ave, Jasper, IN 47546-3602 | 2016-10-13 |
| 1356764476 | Karen G Beckman | Nurse Practitioner | 695 3rd Ave, Jasper, IN 47546-3602 | 2014-01-24 |
| 1649365784 | Dennis M Dunsmore | Family Medicine | 695 3rd Ave, Jasper, IN 47546-3602 | 2006-10-04 |
| 1699702696 | Thomas E. Field | Family Medicine | 695 3rd Ave, Jasper, IN 47546-3602 | 2006-06-26 |
| 1912958885 | Susan Duval | Nurse Practitioner | 695 3rd Ave, Jasper, IN 47546-3602 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942846100 | Pickens Urgent Care LLC | Clinic/Center | 744 Noah Dr Ste 108-109, Jasper, GA 30143-8705 | 2019-11-22 |
| 1164749339 | Urgent Care Clinic of Nfc | Clinic/Center | 1250 Marvin Hancock Dr, Jasper, TX 75951-4934 | 2010-04-28 |
| 1972038503 | Jasper County Urgent Care Pllc | Clinic/Center | 494 Springhill St, Suite 100, Jasper, TX 75951-4922 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921294 | Midwest Express Care 4, LLC | Clinic/Center | 6131 Us Highway 6 Ste C, Portage, IN 46368-5058 | 2020-10-28 |
| 1093349540 | Heart of Families LLC | Clinic/Center | 10435 Woodfield Pl, Fort Wayne, IN 46835-9750 | 2020-02-24 |
| 1619536067 | Midwest Express Care 4 LLC | Clinic/Center | 5043 E 81st Ave, Merrillville, IN 46410-5912 | 2019-06-10 |
| 1053807990 | American Currenct Care P.a. | Clinic/Center | 4125 W Clara Ln, Muncie, IN 47304-5466 | 2018-07-03 |
| 1942796883 | American Currenct Care P.a. | Clinic/Center | 11580 Overlook Dr Ste 100, Fishers, IN 46037-4221 | 2018-07-03 |
| 1396231239 | American Currenct Care P.a. | Clinic/Center | 5603 W Raymond St Ste A-d, Indianapolis, IN 46241-4364 | 2018-07-03 |
| 1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-03 |
| 1023504966 | American Currenct Care P.a. | Clinic/Center | 1311 N Shadeland Ave Ste E-j, Indianapolis, IN 46219-3660 | 2018-07-03 |
| 1922594860 | American Currenct Care P.a. | Clinic/Center | 4850 Century Plaza Rd Ste 100, Indianapolis, IN 46254-5477 | 2018-07-03 |
| 1780170621 | American Currenct Care P.a. | Clinic/Center | 7301 Georgetown Rd Ste 109-111, Indianapolis, IN 46268-5124 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
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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.