DR. MICHAEL F DEERY (NPI# 1306814413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306814413 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL F DEERY |
| Credential | M.D. |
| Practice Address |
921 N Lake Shore Dr Culver IN 46511 |
| Mailing Address |
707 E Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5748423327 |
| Practice Fax Number | 5748424330 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01020772A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000733193 | 01 |
| IN | BCBS | 000000878027 | 01 |
| IN | 10017329C | 05 |
| Street Address |
921 N LAKE SHORE DR |
| City | CULVER |
| State | IN |
| Zip Code | 46511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366566424 | Lake Shore Clinic | Clinic/Center | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2007-03-16 |
| 1730274556 | Noemi Adame | Pediatrics | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-10-04 |
| 1235245002 | Rebecca M Brice | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-08-22 |
| 1225083371 | Melissa M Ilg | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-05-24 |
| 1467404640 | Warren K Reiss | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437309838 | Kristine Marie Weaver | Nurse Practitioner | 232 S Main St Ste A, Culver, IN 46511 | 2008-09-23 |
| 1649361031 | John R. Bernero | Internal Medicine | 1680 E. Shore Dr., Culver, IN 46511 | 2006-09-28 |
| 1427595842 | Mackenzie Davenport | Specialist/Technologist | 1300 Academy Rd, Culver, IN 46511 | 2017-01-24 |
| 1033624499 | Stephanie Stichter | Specialist/Technologist | 701 School St, Culver, IN 46511-1026 | 2017-12-07 |
| 1104155415 | Culver Community Schools | Local Education Agency (LEA) | 700 School St, Culver, IN 46511-1027 | 2009-12-15 |
| 1770504813 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 730 School St, Culver, IN 46511-1027 | 2006-07-22 |
| 1679970644 | Culver Comm Sch Corp | Point of Service | 700 School St, Culver, IN 46511-1027 | 2014-11-19 |
| 1184672032 | Kurt Nathan Richeson | Dentist | 1001 N Lake Shore Dr, Culver, IN 46511-1209 | 2006-05-04 |
| 1891037164 | Ourhealth Physician Group, LLC | Clinic/Center | 121 N Terrace Dr, Culver, IN 46511-1222 | 2013-03-25 |
| 1982199014 | Brian Rosenau | Specialist/Technologist | 1300 Academy Rd # 95, Culver, IN 46511-1234 | 2018-07-01 |
| Find all providers in zip 46511 | ||||
| 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 |
|---|---|---|---|---|
| 1235245002 | Rebecca M Brice | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-08-22 |
| 1225083371 | Melissa M Ilg | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-05-24 |
| 1467404640 | Warren K Reiss | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| 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.