KRISTINE TEODORI (NPI# 1316943137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316943137 |
| Entity Type | Individual |
| Full Name | KRISTINE TEODORI |
| Credential | DO |
| Practice Address |
499 S Court St Crown Point IN 46307-4335 |
| Mailing Address |
Po Box 849 Crown Point IN 46308-0849 |
| Practice Telephone | 2196634888 |
| Practice Fax Number | 2196634877 |
| Mailing Telephone | 2196634888 |
| Mailing Fax Number | 2196634877 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
02002441 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM TRADITIONAL | 000000721931 | 01 |
| IN | 200492390 | 05 |
| Street Address |
499 S COURT ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336537026 | Stephany Sipe | Nurse Practitioner | 499 S Court St, Crown Point, IN 46307-4335 | 2015-01-02 |
| 1982010690 | Aceso Visiting Physicians and Geriatric Care Inc. | Internal Medicine | 499 S Court St, Crown Point, IN 46307-4335 | 2014-07-02 |
| 1538212204 | Michael Owens | Physical Medicine & Rehabilitation | 499 S Court St, Crown Point, IN 46307-4335 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648267 | Rajarajeswari Majety | Internal Medicine | 2050 N Main St, Suite F, Crown Point, IN 46307-2035 | 2005-09-07 |
| 1982010690 | Aceso Visiting Physicians and Geriatric Care Inc. | Internal Medicine | 499 S Court St, Crown Point, IN 46307-4335 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560491 | Advanced Medical Strategies LLC | Internal Medicine | 3646 Wirth Rd, Highland, IN 46322-2218 | 2020-08-28 |
| 1508309295 | M Care Pllc | Internal Medicine | 443 Spring St Ste 2, Jeffersonville, IN 47130-4495 | 2016-11-29 |
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1154663763 | Alexander C. Gatzimos Md Jd | Internal Medicine | 2050 E Ireland Rd, South Bend, IN 46614-2909 | 2013-03-21 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1063659688 | Tochukwu C Iloabuchi | Internal Medicine | 6677 W May Apple Dr, Mccordsville, IN 46055-4447 | 2009-01-20 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1275667677 | Wound Care Specialists of Indiana PC | Internal Medicine | 1200 W Carmel Dr Ste 103, Carmel, IN 46032-8707 | 2007-03-15 |
| 1417082520 | Jeff C Darnell | Internal Medicine | 3829 East 126th Street, Carmel, IN 46033-3151 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.