SIGMA MEDICAL GROUP, LLC (NPI# 1336334796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336334796 |
| Entity Type | Organization |
| Organization Name | SIGMA MEDICAL GROUP, LLC |
| Other Organization Name | RENE S GUTIERREZ, MD |
| Practice Address |
902 Foxwood Ct Monticello IN 47960-3201 |
| Mailing Address |
1415 Salem St Suite 302 Lafayette IN 47904-4100 |
| Practice Telephone | 5745832495 |
| Practice Fax Number | 5745832319 |
| Mailing Telephone | 7654492410 |
| Mailing Fax Number | 7657428607 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | LOIS SCHMIDT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7654492410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01042516A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200495560 | 05 |
| Other Name | Type Code |
|---|---|
| Rene S Gutierrez, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831627579 | Sigma Medical Group, LLC | Family Medicine | 10437 Moss Park Rd, Orlando, FL 32832-5812 | 2017-05-25 |
| 1386668812 | Sigma Medical Group, LLC | General Practice | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SIGMA MEDICAL GROUP, LLC | 1701 South Creasy Lane, Lafayette, IN 47905 |
| Street Address |
902 FOXWOOD CT |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124291273 | Bassel Artin | Internal Medicine | 902 Foxwood Ct, Monticello, IN 47960-3201 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269690 | University of Arkansas At Monticello | General Practice | 663 University Drive, Monticello, AR 71656 | 2019-08-09 |
| 1003078056 | Carol Bridges | General Practice | 4391 E Lake Rd 36e, Monticello, IN 47960-7513 | 2008-07-01 |
| 1962670802 | Edmundo C Aquino | General Practice | 215 E Wisconsin Ave, Monticello, WI 53570-9632 | 2008-02-13 |
| 1457573495 | Herman Goldfarb | General Practice | 109 Starlight Rd, Monticello, NY 12701-4032 | 2007-05-02 |
| 1487891552 | Mel Charles Hartsfield | General Practice | 1255 W Washington St, Monticello, FL 32344-1128 | 2009-01-12 |
| 1548455090 | Catskill Adult & Ped Med | General Practice | 64 Jefferson St, Suite 2, Monticello, NY 12701-1148 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on SIGMA MEDICAL GROUP, LLC.
| 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.