AMANDA MARIE DICK LLC (NPI# 1417262312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262312 |
| Entity Type | Organization |
| Organization Name | AMANDA MARIE DICK LLC |
| Practice Address |
120 Saint Louis Ave Seymour IN 47274-2304 |
| Practice Telephone | 8125226237 |
| Practice Fax Number | 8125238369 |
| Mailing Telephone | 8125226237 |
| Mailing Fax Number | 8125238369 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | DR. AMANDA MARIE DICK (OWNER) |
| Authorized Official Telephone | 8125226237 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 01068465A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | FD2095380 DEA | 01068465A | 01 |
| Street Address |
120 SAINT LOUIS AVE |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414710 | Douglas A Towriss | Internal Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2005-08-19 |
| 1114484474 | Heather Ann Brott | Nurse Practitioner | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2019-02-22 |
| 1124434469 | Indiana Health Centers, Inc | Family Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2014-07-08 |
| 1699869727 | Legacy Primary Care Physicians, PC | Internal Medicine | 120 Saint Louis Ave, Seymour, IN 47274-2304 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184819104 | Steven F. Hall Md PC | Clinic/Center | 10622 Chapman Hwy, Seymour, TN 37865-4703 | 2007-09-12 |
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| Find all providers with the same taxonomy | ||||
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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.