THE AXON GROUP, LTD. (NPI# 1396228177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396228177 |
| Entity Type | Organization |
| Organization Name | THE AXON GROUP, LTD. |
| Practice Address |
700 E Beardsley Ave Ste 100 Elkhart IN 46514-3365 |
| Mailing Address |
295 E Swedesford Rd # 254 Wayne PA 19087-1462 |
| Practice Telephone | 5742068010 |
| Mailing Telephone | 2157797392 |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2018-09-08 |
| Authorized Official Name | DR. KAREN SARPOLIS (PRESIDENT) |
| Authorized Official Telephone | 2157797392 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01040395A | IN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | THE AXON GROUP, LTD. | 207 E. Ohio, 186, Chicago, IL 60611 |
| Street Address |
700 E BEARDSLEY AVE STE 100 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-03 |
| 1467948208 | Occupational Health Centers of The Southwest, Pa | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396785903 | Tanya Jan Pittman Navarrette | Emergency Medicine | 445 Hilltop, Elkhart, KS 67950 | 2006-06-08 |
| 1164414173 | Eugene Huang | Emergency Medicine | 900 Johnson Street, Elkhart, IN 46514 | 2005-08-16 |
| 1609169135 | Adam Charles Losch | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2011-05-17 |
| 1982915476 | Katharine Withorn | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-06-29 |
| 1265753610 | Halsey Anne Heinselman | Emergency Medicine | 600 East Blvd, Emergency Department, Elkhart, IN 46514-2483 | 2010-06-21 |
| 1336460732 | Jason Paul Graber | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-06-20 |
| 1245556349 | Phillip Edward Schafer | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-04-14 |
| 1275859506 | Megan Mcgrew Koenig | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514 | 2010-04-12 |
| 1679758684 | Andre Nathan Hirschler | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2008-01-09 |
| 1477732071 | Mark A. Quiring | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2007-10-31 |
| Find all providers in ELKHART | ||||
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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.