DR. LORRAINE WEAN (NPI# 1407858079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407858079 |
| Entity Type | Individual |
| Full Name | DR. LORRAINE WEAN |
| Credential | MD |
| Practice Address |
300 E Boyd Ave Ste 250 Greenfield IN 46140-2845 |
| Mailing Address |
Po Box 129 Greenfield IN 46140-0129 |
| Practice Telephone | 3174674500 |
| Practice Fax Number | 3174776321 |
| Mailing Telephone | 3174686270 |
| Mailing Fax Number | 3174686268 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01038518A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD # | 370018015 | 01 |
| IN | AETNA PIN # | 4345468 | 01 |
| IN | MEDICAID GROUP # | 200311740 E | 01 |
| IN | 100127970 | 05 | |
| IN | ANTHEM PIN # | 000000112574 | 01 |
| Street Address |
300 E BOYD AVE STE 250 |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376103143 | Christy Ann Harpold | Social Worker | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2019-06-14 |
| 1366920266 | Mindy Closser | Registered Nurse | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2018-08-02 |
| 1639161748 | Paul J Halter IIi | Pediatrics | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2005-08-16 |
| 1871595389 | Roger Roberts Jr. | Pediatrics | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020633 | S T Sy Md Sc | Pediatrics | 4666 S 35th St, Greenfield, WI 53221 | 2006-09-07 |
| 1265450936 | Jan Mcgonagle | Pediatrics | One Verney Drive, Cmrc, Greenfield, NH 03431-1719 | 2006-07-18 |
| 1477570406 | Santiago T Sy | Pediatrics | 4666 South 35th Street, Greenfield, WI 53221 | 2006-07-16 |
| 1013906841 | Daniel W Zinn | Pediatrics | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 | 2005-10-14 |
| 1790130474 | Jared Connolly | Pediatrics | 9000 W Sura Ln, Greenfield, WI 53228 | 2016-04-29 |
| 1194179093 | Kevin Glatt | Pediatrics | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2016-04-17 |
| 1942612734 | Alison Little | Pediatrics | 164 High Street, Greenfield, MA 01301-2613 | 2014-05-28 |
| 1013354372 | Olusoji Derek Olakanpo | Pediatrics | 489 Bernardston Rd, Suite 108, Greenfield, MA 01301-1238 | 2013-05-28 |
| 1598100828 | Christa M Morris | Pediatrics | 48 Sanderson St, Greenfield, MA 01301-2778 | 2013-04-30 |
| 1982946638 | Elizabeth V Kurowski | Pediatrics | 9000 W Sura Ln, Greenfield, WI 53228-3477 | 2013-03-20 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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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.