BRAXTON FRITZ (NPI# 1215340781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215340781 |
| Entity Type | Individual |
| Full Name | BRAXTON FRITZ |
| Credential | MD |
| Practice Address |
8135 Calumet Ave Munster IN 46321-1701 |
| Practice Telephone | 2195132000 |
| Practice Fax Number | 2195132001 |
| Mailing Telephone | 2195132000 |
| Mailing Fax Number | 2195132001 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01081892A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 36970 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
8135 CALUMET AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629158837 | Michele Janine Keller | Family Medicine | 8135 Calumet Ave, Munster, IN 46321-1701 | 2006-10-16 |
| 1760082754 | Crystal Rachelle Frahm | Registered Nurse | 8135 Calumet Ave, Munster, IN 46321-1701 | 2020-10-28 |
| 1831703321 | Kathleen Marie Gonzales | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2020-09-02 |
| 1780207332 | Diana Rose Poortenga | Registered Nurse | 8135 Calumet Ave, Munster, IN 46321-1701 | 2020-05-18 |
| 1134769409 | Cathryn Sotak | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2020-01-14 |
| 1487204319 | Jessica Aman Borst | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2019-09-12 |
| 1306494877 | Gerald Beck | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2019-08-28 |
| 1861052409 | Amanda Turich | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2019-06-17 |
| 1427542471 | Debra Jensen Gbabiri | Nurse Practitioner | 8135 Calumet Ave, Munster, IN 46321-1701 | 2018-06-21 |
| 1659861912 | Kerry Ann Kanaley | Licensed Practical Nurse | 8135 Calumet Ave, Munster, IN 46321-1701 | 2018-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164874632 | Oksana Kushnir | Family Medicine | 1946 45th St, Munster, IN 46321-3986 | 2016-07-08 |
| 1376921247 | Md At Home Inc | Family Medicine | 9939 Sequoia Ln, Munster, IN 46321-3853 | 2015-05-12 |
| 1417209933 | Srikanth Dev Ravindran | Family Medicine | 10380 Sutton Pl, Munster, IN 46321-2882 | 2012-10-08 |
| 1932306057 | Jerald E Smith | Family Medicine | 1234 Melbrook Dr, Munster, IN 46321-3109 | 2007-07-02 |
| 1629158837 | Michele Janine Keller | Family Medicine | 8135 Calumet Ave, Munster, IN 46321-1701 | 2006-10-16 |
| 1629085816 | Smita K Raiker | Family Medicine | 9038 Columbia Ave, Suite B, Munster, IN 46321-2905 | 2006-08-01 |
| 1831106186 | Jayshree S Bhatt | Family Medicine | 9124 Columbia Ave, Suite B, Munster, IN 46321 | 2006-08-01 |
| 1346268570 | H Alan Jones | Family Medicine | 929 Ridge Rd Ste 7, Munster, IN 46321-1769 | 2006-07-17 |
| 1962472159 | Zeba Ali | Family Medicine | 9128 Columbia Ave, Ste A, Munster, IN 46321-2600 | 2006-01-23 |
| 1376535146 | Demetrios John Karamichos | Family Medicine | 931 Ridge Rd Ste C, Munster, IN 46321-1756 | 2005-08-18 |
| Find all providers in MUNSTER | ||||
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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.