WABASH VALLEY SURGICAL ASSOCIATES LLC (NPI# 1295185858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295185858 |
| Entity Type | Organization |
| Organization Name | WABASH VALLEY SURGICAL ASSOCIATES LLC |
| Practice Address |
3901 S 7th St Terre Haute IN 47802-5709 |
| Mailing Address |
13737 Noel Rd #1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3901 S 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374419 | Roland M Kohr | Pathology | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2005-08-29 |
| 1982233359 | Bobette Makoyi | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2020-04-07 |
| 1528697489 | Niko Mccarter | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2020-04-03 |
| 1083244941 | Lucidus Diagnostics LLC | Pathology | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2020-01-20 |
| 1770129066 | Terre Haute Anesthesiology LLC | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2019-11-21 |
| 1033777263 | Gara Sibley | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-4299 | 2019-06-03 |
| 1619442613 | Samuel Irving | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2018-10-05 |
| 1073002390 | Rebecca Maupin | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2018-05-02 |
| 1861900128 | Audrea Lauren Sisk | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2018-01-19 |
| 1669982070 | Shannon Welsh | Nurse Practitioner | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2017-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215132907 | Janie L Orrington-myers | Surgery | 3903 S 7th St Ste 2d, Terre Haute, IN 47802-5710 | 2007-06-20 |
| 1164523783 | Francis V. Tapia | Surgery | 3311 S 7th St, Terre Haute, IN 47802-4014 | 2006-09-26 |
| 1144275819 | Noaman Noshi Botros | Surgery | 1429 N 8th St, Terre Haute, IN 47807-1136 | 2006-05-23 |
| 1619966462 | David Andrew Southwick | Surgery | 5969 S Ernest St, Terre Haute, IN 47802-8111 | 2005-10-14 |
| 1063404259 | Custodio L. Lim | Surgery | 2235 Wabash Ave, Terre Haute, IN 47807-3330 | 2005-08-16 |
| 1396749966 | Karen Ann Tisinai | Surgery | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2005-06-10 |
| 1548264823 | Mark O Lynch | Surgery | 1818 N 6th St, Terre Haute, IN 47804-4021 | 2005-06-02 |
| 1992124994 | Nicholas C Lynch | Surgery | 1818 N 6th St, Terre Haute, IN 47804-4021 | 2014-04-08 |
| 1487910626 | Brandon Frank Lynch | Surgery | 1818 N 6th St, Terre Haute, IN 47804-4021 | 2012-04-02 |
| 1104137603 | Rebecca Elizabeth Lynch | Surgery | 1818 N 6th St, Terre Haute, IN 47804-4021 | 2010-06-29 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.