JACK L FOLTZ (NPI# 1215016324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215016324 |
| Entity Type | Individual |
| Full Name | JACK L FOLTZ |
| Credential | M.D. |
| Practice Address |
8211 W State Route 66 Newburgh IN 47630-2534 |
| Practice Telephone | 8127162786 |
| Practice Fax Number | 8128581001 |
| Mailing Telephone | 8127162786 |
| Mailing Fax Number | 8128581001 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
01023186A | IN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 01023186A | IN | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01023186A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
8211 W STATE ROUTE 66 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243870 | Shaun P Tymchak | Chiropractor | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2005-05-30 |
| 1093132821 | Newburgh Urgent Care LLC | Clinic/Center | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2014-03-18 |
| 1578821740 | Ohio Valley Pain Intervention LLC | Nurse Practitioner | 8211 W State Route 66, Newburgh, Newburgh, IN 47630-2534 | 2012-04-25 |
| 1730496563 | Julie A Crowe | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2010-08-31 |
| 1336470616 | Genesis Health and Wellness LLC | General Practice | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2010-01-26 |
| 1700046877 | Bobbi J Preston | Physical Therapist | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2008-06-12 |
| 1447461132 | Newburgh Chiropractic Psc | Chiropractor | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2007-05-24 |
| 1194855478 | Harriett Deene Mefford | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487854436 | Carlomagno Calderon Briones | General Practice | 19 Riverbend Ct, Newburgh, IN 47630-9710 | 2007-07-18 |
| 1336470616 | Genesis Health and Wellness LLC | General Practice | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2010-01-26 |
| 1467531616 | Iraj Assefi | General Practice | 1418 Route 300, Newburgh, NY 12550 | 2006-11-06 |
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| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 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.