DEKALB MEMORIAL HOSPITAL, INC (NPI# 1396816161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396816161 |
| Entity Type | Organization |
| Organization Name | DEKALB MEMORIAL HOSPITAL, INC |
| Other Organization Name | DEKALB HEALTH MEDICAL GROUP-BUTLER |
| Practice Address |
409 E Washington St Butler IN 46721-1175 |
| Mailing Address |
Po Box 623 Auburn IN 46706-0623 |
| Practice Telephone | 2608685843 |
| Practice Fax Number | 2608685844 |
| Mailing Telephone | 2608685843 |
| Mailing Fax Number | 2608685844 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | MS. PENNY LYNN GRIFFIN (BILLING COLLECTION MANAGER) |
| Authorized Official Telephone | 2609202794 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2463909 | 05 | |
| IN | RAILROAD MEDICARE | CC4531 | 01 |
| IN | 100104110B | 05 |
| Other Name | Type Code |
|---|---|
| DEKALB HEALTH MEDICAL GROUP-BUTLER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278824 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St Ste 103, Auburn, IN 46706-2533 | 2017-07-18 |
| 1871972869 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2015-05-22 |
| 1467843599 | Dekalb Memorial Hospital, Inc | Family Medicine | 1310 E 7th St, Suite C, Auburn, IN 46706-2534 | 2015-02-11 |
| 1962804559 | Dekalb Memorial Hospital, Inc | Otolaryngology | 433 W High Street, Bryan, OH 43506-1679 | 2014-09-25 |
| 1346669546 | Dekalb Memorial Hospital, Inc | Otolaryngology | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-04-15 |
| 1255768008 | Dekalb Memorial Hospital, Inc | Family Medicine | 1306 E 7th St, Suite A, Auburn, IN 46706-2536 | 2013-10-10 |
| 1548505597 | Dekalb Memorial Hospital, Inc | Surgery | 1316 E 7th St, Suite 1, Auburn, IN 46706-2538 | 2012-12-03 |
| 1073886560 | Dekalb Memorial Hospital, Inc | Otolaryngology | 1310 E 7th St, Suite G, Auburn, IN 46706-2534 | 2012-02-15 |
| 1366722415 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 101, Auburn, IN 46706-2535 | 2011-08-22 |
| 1053615187 | Dekalb Memorial Hospital, Inc | Family Medicine | 1314 E 7th St, Suite 201, Auburn, IN 46706-2533 | 2011-01-04 |
| Street Address |
409 E WASHINGTON ST |
| City | BUTLER |
| State | IN |
| Zip Code | 46721-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120421 | Emilio J Vazquez | Emergency Medicine | 409 E Washington St, Butler, IN 46721-1175 | 2005-08-09 |
| 1558751909 | Natasha M Subramaniam | Nurse Practitioner | 409 E Washington St, Butler, IN 46721-1175 | 2015-01-23 |
| 1336580877 | Jessica L Sleesman-vitt | Nurse Practitioner | 409 E Washington St, Butler, IN 46721-1175 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538114848 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 520 W Liberty St, Butler, IN 46721-1063 | 2006-05-24 |
| 1215571146 | Alyssa Renee Hartman | Nurse Practitioner | 301 Meadowmere Dr, Butler, IN 46721-1070 | 2019-11-04 |
| 1578506093 | Community Living, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 512 W Green St, Butler, IN 46721-1073 | 2006-06-13 |
| 1346280765 | Community Living, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 417 N Ash St, Butler, IN 46721-1105 | 2006-06-07 |
| 1326047275 | Kenneth W Arnt | Dentist | 106 E Green St, Butler, IN 46721-1126 | 2005-07-21 |
| 1679094775 | Butler Dental Group, LLC | Dentist | 106 E Green St, Butler, IN 46721-1126 | 2017-06-29 |
| 1861491714 | Marcia F Arnt | Dentist | 106 E Green St, Butler, IN 46721-1126 | 2005-07-21 |
| 1245222785 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 408 E Washington St, Butler, IN 46721-1179 | 2005-08-19 |
| 1295773109 | Community Living, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 413 W Oak St, Butler, IN 46721-1337 | 2006-06-03 |
| 1629171327 | Hook Superx LLC | Pharmacy | 529 W Main St, Butler, IN 46721-1348 | 2006-09-07 |
| Find all providers in zip 46721 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609163674 | Biju Raju | Family Medicine | 1395 State Rt 23, Suite 4, Butler, NJ 07405-1732 | 2011-06-28 |
| 1811295496 | Anderson Physician Alliance, Inc | Family Medicine | 522 E Pushmataha St, Butler, AL 36904-2628 | 2011-03-07 |
| 1447487996 | Darren Machak | Family Medicine | 1022b N Main Street, Butler, PA 16001-1954 | 2009-06-11 |
| 1457548406 | Watauga Lake Family Medicine PC | Family Medicine | 140 Mcqueen St., Butler, TN 37640 | 2007-10-03 |
| 1598962581 | John Phillip Bustle | Family Medicine | 615 W Nursery, Butler, MO 64730 | 2007-07-02 |
| 1487739314 | Louis Keith Guinn | Family Medicine | 315 E Pushmataha St, Butler, AL 36904-0678 | 2006-10-26 |
| 1427147503 | Lawrence J Zelonis | Family Medicine | 1610 N Main Street Ext, Butler, PA 16001-1513 | 2006-10-12 |
| 1255423570 | Family Medicine of Butler P C | Family Medicine | 1022a North Main St, Butler, PA 16001 | 2006-09-28 |
| 1144320003 | Complete Care Family Medicine | Family Medicine | 357 N Main St, Butler, PA 16001-4917 | 2006-09-22 |
| 1639284243 | Sheila Balestrino | Family Medicine | 342 North Main St, Butler, PA 16001 | 2006-08-21 |
| Find all providers in BUTLER | ||||
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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.