DR. TIA JAVANTE DORN (NPI# 1285074740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285074740 |
| Entity Type | Individual |
| Full Name | DR. TIA JAVANTE DORN |
| Credential | M.D. |
| Practice Address |
3777 N Frontage Rd Michigan City IN 46360-7695 |
| Mailing Address |
1 Erie Ct Suite 6160 Oak Park IL 60302-2566 |
| Practice Telephone | 2198773841 |
| Mailing Telephone | 7087631490 |
| Mailing Fax Number | 7087637232 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01081650A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125064108 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Erie Ct, Suite 6160, Oak Park, IL 603022566 | 7087631490 | 7087637232 |
| Street Address |
3777 N FRONTAGE RD |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1700407384 | Lakeshore Eye Specialists PC | Ophthalmology | 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2020-05-05 |
| 1548893084 | Lisa Neil | Nurse Practitioner | 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| 1164721254 | Stephanie Jordan Ministries, Inc. | Licensed Vocational Nurse | 1904 E. Us Hwy 20, Michigan City, IN 46360 | 2011-03-15 |
| Find all providers in zip 46360 | ||||
| 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 |
|---|---|---|---|---|
| 1447636840 | Kumari S. Singh | Family Medicine | 1225 E Coolspring Ave # 2b, Michigan City, IN 46360-6312 | 2015-08-07 |
| 1912233875 | Weldon Cooke Md LLC | Family Medicine | 10176 W. 400 North, Suite C, Michigan City, IN 46360 | 2009-10-28 |
| 1255510244 | Contri Medical Corporation PC | Family Medicine | 217 West Homer Street, Michigan City, IN 46360 | 2007-10-26 |
| 1750450813 | Victor Contri | Family Medicine | 217 W Homer St, Michigan City, IN 46360 | 2006-11-06 |
| 1932290343 | Maria Brown | Family Medicine | 1225 E Coolspring Ave Ste 2d, Michigan City, IN 46360 | 2006-09-28 |
| 1700824570 | Jennifer England | Family Medicine | 1225 E Coolspring Ave Ste 2-b, Michigan City, IN 46360-6312 | 2006-06-03 |
| 1912945262 | Weldon John Cooke | Family Medicine | 10176 W 400 N, Suite C, Michigan City, IN 46360 | 2006-06-02 |
| 1790753218 | Carol Joan Grobner | Family Medicine | 1225 E Coolspring Ave Ste 2a, Michigan City, IN 46360-6312 | 2006-03-09 |
| 1750362901 | Debra A Zack | Family Medicine | 710 Franklin St Ste 200, Michigan City, IN 46360-3564 | 2005-11-07 |
| 1952396772 | Cheryl Krueger | Family Medicine | 4111 Franklin St, Michigan City, IN 46360-7803 | 2005-09-19 |
| Find all providers in MICHIGAN CITY | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on DR. TIA JAVANTE DORN.
| 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.