INTEGRATED BODY AND MEDICINE PC (NPI# 1407404569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407404569 |
| Entity Type | Organization |
| Organization Name | INTEGRATED BODY AND MEDICINE PC |
| Practice Address |
7051 Kennedy Ave Hammond IN 46323-2213 |
| Practice Telephone | 2198036630 |
| Practice Fax Number | 2199377237 |
| Mailing Telephone | 2198036630 |
| Mailing Fax Number | 2199377237 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | DR. AHMAD SPROUSE (OWNER) |
| Authorized Official Telephone | 2198036630 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kennedy Ave Chiropractic | Other Name - Individual/Organization |
| Street Address |
7051 KENNEDY AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46323-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538635214 | Kennedy Avenue Chiropractic | Chiropractor | 7051 Kennedy Ave, Hammond, IN 46323-2213 | 2018-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1790863256 | Pacific Healthcare, Inc. | Clinic/Center | 6829-1/2 S. Grand Avenue, Hammond, IN 46323 | 2006-11-01 |
| 1083061568 | Thomas Wilkins | Family Medicine | 3432 169th St, Hammond, IN 46323 | 2016-05-16 |
| 1891070678 | Andrea Clarice Nygaard | Pharmacist | 6905 Kennedy Ave, Hammond, IN 46323 | 2011-10-12 |
| 1053584938 | Waneta Deshon Willis-cooper | Developmental Therapist | 6116 Marshall Ave, Hammond, IN 46323-1054 | 2008-04-10 |
| 1255948204 | Independence Plus-in, LLC | Home Health | 2901 Carlson Dr Ste 361, Hammond, IN 46323-1100 | 2020-09-24 |
| 1174146799 | Inspire Nursing Services | Home Health | 2901 Carlson Dr Ste 371, Hammond, IN 46323-1100 | 2020-05-19 |
| 1134241805 | Gina Marie Maldonado | Developmental Therapist | 3232 165th St, Hammond, IN 46323-1213 | 2007-04-04 |
| 1871659599 | Joseph Robert Kolanko | Chiropractor | 3224 165th St, Hammond, IN 46323-1218 | 2006-12-28 |
| 1114211844 | Swts | Non-emergency Medical Transport (VAN) | 6411 Grand Ave, Hammond, IN 46323-1230 | 2011-05-27 |
| Find all providers in zip 46323 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1710143722 | Ochsner Clinic LLC | General Practice | 16045 Doctors Blvd, Hammond, LA 70403-1479 | 2008-07-30 |
| 1992904932 | Ochsner Clinic LLC | General Practice | 41676 Veterans Ave, Hammond, LA 70403-1412 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
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| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTEGRATED BODY AND MEDICINE PC.
| 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.