OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP. (NPI# 1346588134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346588134 |
| Entity Type | Organization |
| Organization Name | OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP. |
| Practice Address |
645 Canal St Evansville IN 47713-2441 |
| Practice Telephone | 8124918765 |
| Practice Fax Number | 8124918766 |
| Mailing Telephone | 8124918765 |
| Mailing Fax Number | 8124918766 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | ART O OBASEKI (PRESIDENT) |
| Authorized Official Telephone | 8124918765 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 01039780A | IN | Allopathic & Osteopathic Physicians |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
71000903A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000354966 | 01 | |
| IN | 200512070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871706143 | Obaseki Indiana Family Health Clinic, Prof. Corp. | Family Medicine | 1110 E Main St, Washington, IN 47501-3031 | 2007-05-07 |
| Street Address |
645 CANAL ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962831412 | Lindsey Morrison | Clinical Nurse Specialist | 1231 Washington Sq, Evansville, IN 47715-6807 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730578436 | Joyce Ann Davis | Clinical Nurse Specialist | 11744 Gray Eagle Dr, Fishers, IN 46037-8107 | 2015-01-19 |
| 1619113339 | We Care Medical Center LLC | Clinical Nurse Specialist | 535 Logan Dr, Hammond, IN 46320-1577 | 2008-12-30 |
| 1144649195 | Blue Skies Medical Incorporated | Clinical Nurse Specialist | 2714 169th St, Hammond, IN 46323-1508 | 2014-04-07 |
| 1265782957 | Karen Atcheson | Clinical Nurse Specialist | 901 Prince William Rd, Suite A, Delphi, IN 46923-1758 | 2012-09-11 |
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on OBASEKI INDIANA FAMILY HEALTH CLINIC, PROF. CORP..
| 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.