ROBERT EALY (NPI# 1346296670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346296670 |
| Entity Type | Individual |
| Full Name | ROBERT EALY |
| Credential | MD |
| Practice Address |
1500 S Lake Park Ave Hobart IN 46342-6638 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 2199420551 |
| Mailing Telephone | 7349953764 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01049535A | IN | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
01049535A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114095247 | Robert Dale Ealy Jr. | Dentist | 300 Enola Rd, J Iverson Riddle Developmental Center/dhhs/nc, Morganton, NC 28655-4608 | 2006-11-30 |
| Street Address |
1500 S LAKE PARK AVE |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233574 | Aram Semerdjian | Radiology | 1500 S Lake Park Ave, Munster Radiology Group, Hobart, IN 46342-6638 | 2005-08-23 |
| 1275130841 | Giovanna Finigan | Occupational Therapy Assistant | 1500 S Lake Park Ave, Hobart, IN 46342-6699 | 2020-10-06 |
| 1699329185 | Allyson Trevino | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2019-08-01 |
| 1306401914 | Chasity Lynn Stahl | Nurse Anesthetist, Certified Registered | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2019-05-08 |
| 1013497106 | 24 On Physician Partners, PC | Hospitalist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-08-17 |
| 1255819405 | Nichole Marie Patten | Nurse Practitioner | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-07-31 |
| 1417445842 | Tia Sparks | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-05-01 |
| 1043708464 | Joyce C Smith | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-05-01 |
| 1962900696 | Laura Bertucci | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-01-29 |
| 1235637844 | Deborah Ann Evans | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750317350 | Epmg of Indiana, PC | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-06-24 |
| 1144260407 | Neil D Shaffer | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-06-07 |
| 1447207261 | Trevor L Loftis | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-05-27 |
| 1568418747 | Dennis B Pursel | Emergency Medicine | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871217 | Nw Indiana Ep, LLC | Emergency Medicine | 7904 Cabela Dr, Hammond, IN 46324-2950 | 2020-01-30 |
| 1801383278 | Midwest Emergency Medicine, Inc. | Emergency Medicine | 520 S 7th Street, Er, Vincennes, IN 47591-1038 | 2018-04-20 |
| 1285994434 | Aaron Brooks Crofoot | Emergency Medicine | 229 W North Shore Dr, South Bend, IN 46617-1142 | 2012-05-22 |
| 1689842262 | James Scott Frasure | Emergency Medicine | 4030 W Breezewood Ct, Bloomington, IN 47404-9132 | 2008-02-15 |
| 1831290956 | Suzanne M Coleman | Emergency Medicine | 3124 E State Blvd Ste 2b, Fort Wayne, IN 46805-4763 | 2006-09-25 |
| 1194772681 | Paula Lange | Emergency Medicine | 3252 Tantara Bnd, Carmel, IN 46032-8733 | 2006-05-28 |
| 1982658886 | Robert L Goddard Jr. | Emergency Medicine | 817 W Rosewood Dr, Bloomington, IN 47404-1849 | 2006-05-22 |
| 1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
| 1609844166 | Joseph V Lazzara | Emergency Medicine | 8633 N State Road 550, Bruceville, IN 47516-6096 | 2006-03-10 |
| 1427048099 | Mark M Walsh | Emergency Medicine | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | 2005-10-25 |
| 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.