COBBLER STATION FAMILY CLINIC (NPI# 1366613150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366613150 |
| Entity Type | Organization |
| Organization Name | COBBLER STATION FAMILY CLINIC |
| Practice Address |
5130 Charlestown Rd Suite 1 New Albany IN 47150-9483 |
| Practice Telephone | 8129490140 |
| Practice Fax Number | 8129490279 |
| Mailing Telephone | 8129490140 |
| Mailing Fax Number | 8129490279 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DOST MOHAMMED (OWNER) |
| Authorized Official Telephone | 8129490140 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Street Address |
5130 CHARLESTOWN RD SUITE 1 |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-9483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619961299 | James B Grumley | Family Medicine | 5130 Charlestown Rd, Ste 2, New Albany, IN 47150-9483 | 2005-09-09 |
| 1447394580 | Diabetic Comfort Footwear, Inc. | Durable Medical Equipment & Medical Supplies | 5130 Charlestown Rd, Suite 3, New Albany, IN 47150-9483 | 2007-02-19 |
| 1609987833 | Dost Mohammed | Family Medicine | 5130 Charlestown Rd, Suite 1, New Albany, IN 47150-9483 | 2006-08-31 |
| 1609817378 | Carolyn Jean Cooke | Family Medicine | 5130 Charlestown Rd, Suite 2, New Albany, IN 47150-9483 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114228723 | Nwi Patient Care LLC. | Legal Medicine | 544 S Lake St, Gary, IN 46403-2473 | 2010-11-12 |
| 1083806376 | Seymour Gastroenterology Consultants, LLC | Legal Medicine | 225 S Pine St Ste 311, Seymour, IN 47274-2367 | 2007-08-10 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| 1194815449 | George Robert Small | Legal Medicine | 284 N Madison Ave, Greenwood, IN 46142-3634 | 2006-10-14 |
| 1245329036 | Stephen L Myers | Legal Medicine | Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 46285-0001 | 2006-10-12 |
| 1861589855 | Young M Kim | Legal Medicine | 4035 Elm St, East Chicago, IN 46312-3042 | 2006-10-09 |
| 1336152271 | Aesop, Inc. | Legal Medicine | 4084 Pendleton Way, # 264, Indianapolis, IN 46226-5224 | 2006-08-14 |
| 1285663435 | Edward Long Jr Md | Legal Medicine | 24068 Professional Park Dr, Lawrenceburg, IN 47025-7600 | 2006-07-01 |
| 1184699068 | Karl W Siebe | Legal Medicine | 865 Westfield Rd, Noblesville, IN 46062-8901 | 2006-02-22 |
| 1700859089 | Freya G Paje | Legal Medicine | 1011 E National Ave, Brazil, IN 47834-2713 | 2006-02-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on COBBLER STATION FAMILY CLINIC.
| 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.