JOE CLINKENBEARD (NPI# 1306843685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306843685 |
| Entity Type | Individual |
| Full Name | JOE CLINKENBEARD |
| Credential | PA |
| Practice Address |
2421 Laporte Ave Valparaiso IN 46383-6914 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2194626192 |
| Practice Fax Number | 2194642585 |
| Mailing Telephone | 3175284252 |
| Mailing Fax Number | 3178658318 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000235 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM TRADITIONAL | 000000721671 | 01 |
| Street Address |
2421 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015385 | Michael Manakas | Family Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-07-01 |
| 1235773110 | Tiffany C Orange | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2019-11-04 |
| 1013434638 | Hallie Orgel | Registered Nurse | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2017-08-24 |
| 1811346307 | Meredith White | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-06 |
| 1902254733 | Tamara Lynn Kay | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-02 |
| 1326451030 | Janet Anne Bilder | Family Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2014-06-10 |
| 1285713438 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2006-11-06 |
| 1538152103 | Ruolan Lori Pi | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-29 |
| 1609868207 | Jeffrey Patrick Gatz | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-19 |
| 1972595726 | Eugene Lin | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003280330 | Aspen Leaf Emergency Physicians, LLC | Physician Assistant | 85 East Us-6 Frontage Road, Valparaiso, IN 46383 | 2015-11-24 |
| 1962996637 | Bradley Anthony Qualizza | Physician Assistant | 85 E Us Highway 6, Valparaiso, IN 46383-8947 | 2018-06-18 |
| 1407373103 | Porter Emergency Group, PC | Physician Assistant | 85 E Us Highway 6, Valparaiso, IN 46383-8947 | 2017-08-24 |
| 1285884817 | Robin Renae Tudor | Physician Assistant | 85 E Us Highway 6 Ste 310, Valparaiso, IN 46383 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.