ALLIED PHYSICIANS OF MICHIANA, LLC (NPI# 1356745657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356745657 |
Entity Type | Organization |
Organization Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
Other Organization Name | ALLIED BONE AND JOINT |
Practice Address |
1120 W South St Bremen IN 46506-1849 |
Mailing Address |
6301 University Commons Suite 230 South Bend IN 46635-1571 |
Practice Telephone | 5742474667 |
Practice Fax Number | 5742714458 |
Mailing Telephone | 5742512100 |
Mailing Fax Number | 5742512150 |
Enumeration Date | 2014-10-15 |
Last Update Date | 2014-10-15 |
Authorized Official Name | SHERY A. ROUSSARIE (CEO) |
Authorized Official Telephone | 5742512100 |
Is Organization Subpart | Y |
Parent Organization Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201236170 | 05 |
Other Name | Type Code |
---|---|
Allied Bone and Joint | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154832178 | Allied Physicians of Michiana, LLC | Surgery | 611 E Douglas Rd Ste 308, Mishawaka, IN 46545-1465 | 2017-10-17 |
1902200298 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 1919 Lake Ave, Suite 107b, Plymouth, IN 46563-7830 | 2014-10-15 |
1295139723 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 6301 University Commons, Suite 100, South Bend, IN 46635-1571 | 2014-10-13 |
1013310192 | Allied Physicians of Michiana, LLC | Durable Medical Equipment & Medical Supplies | 2349 Lake Ave, Suite 201, Plymouth, IN 46563-7835 | 2014-10-02 |
1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
1265714778 | Allied Physicians of Michiana, LLC | Occupational Therapist | 6301 University Commons, Suite 430, South Bend, IN 46635-1571 | 2011-09-12 |
1336438647 | Allied Physicians of Michiana, LLC | Orthopaedic Surgery | 6301 University Commons, Suite 420, South Bend, IN 46635-1571 | 2011-04-07 |
1114259074 | Allied Physicians of Michiana, LLC | Pediatrics | 6301 University Commons, Suite 320, South Bend, IN 46635-1571 | 2010-02-03 |
1912232828 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2009-10-09 |
1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | ALLIED PHYSICIANS OF MICHIANA, LLC | 6301 University Commons, Suite230, South Bend, IN 46635-1571 |
Street Address |
1120 W SOUTH ST |
City | BREMEN |
State | IN |
Zip Code | 46506-1849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639118839 | Robert Blaine Kolbe Jr. | Family Medicine | 1120 W South St, Bremen, IN 46506-1849 | 2006-06-05 |
1164893616 | Rachel Pippenger | Nurse Practitioner | 1120 W South St, Bremen, IN 46506-1849 | 2015-10-09 |
1144269861 | Gregory Edward Buck | Family Medicine | 1120 W South St, Bremen, IN 46506-1849 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356564447 | Laura A Both | Family Medicine | 1144 W. Plymouth St., Bremen, IN 46506 | 2007-04-10 |
1770638934 | Bremen Public Schools | Local Education Agency (LEA) | 512 West Grant, Bremen, IN 46506 | 2007-01-25 |
1194764449 | Sandra R. Brown | Obstetrics & Gynecology | 1144 W Plymouth St, Bremen, IN 46506 | 2006-06-05 |
1568417004 | Community Hospital of Bremen, Inc | General Acute Care Hospital | 1020 High Road, Bremen, IN 46506 | 2006-05-23 |
1902017080 | Community Hospital of Bremen, Inc. | Family Medicine | 1020 High Road, Bremen, IN 46506 | 2007-05-24 |
1184771461 | James Wellington Lowe | Emergency Medicine | 1020 High Road, Bremen, IN 46506 | 2007-01-05 |
1376525303 | Diane M. Mackie & Associates, PC | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
1689680977 | John Keith Frey | Emergency Medicine | 1020 High Road, Bremen, IN 46506-0008 | 2006-07-31 |
1972585909 | Diane M Mackie | Pathology | 1020 High Rd, Bremen, IN 46506-0008 | 2005-11-16 |
1023588811 | Community Hospital of Bremen | Pharmacy | 1020 High Rd, Bremen, IN 46506-1093 | 2018-12-05 |
Find all providers in zip 46506 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184863532 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 Pacific Ave, Bremen, GA 30110-2044 | 2009-02-09 |
1720175342 | Jones and Clayton Drugs, Inc | Durable Medical Equipment & Medical Supplies | 116 Buchanan St N, Bremen, GA 30110-1606 | 2006-10-06 |
1417050253 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 Alabama Ave S, Bremen, GA 30110-2002 | 2006-09-07 |
1639197106 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 404 Hwy 27 N Byp, Bremen, GA 30110-1950 | 2006-07-17 |
1700914926 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 200 Allen Memorial Dr, Ste 302-b, Bremen, GA 30110-2012 | 2007-03-01 |
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1588263628 | Riyff LLC | Durable Medical Equipment & Medical Supplies | 162 W Carmel Dr, Carmel, IN 46032-2526 | 2020-10-20 |
1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
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1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
1487272142 | Perennial Health LLC | Durable Medical Equipment & Medical Supplies | 15736 Viking Commander Way, Westfield, IN 46074-7742 | 2020-07-09 |
1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
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.