EASA GHOREISHI (NPI# 1417942228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417942228 |
| Entity Type | Individual |
| Full Name | EASA GHOREISHI |
| Credential | MD |
| Practice Address |
810 Michael Dr Suite I Chesterton IN 46304-2694 |
| Practice Telephone | 2193952142 |
| Practice Fax Number | 2199294292 |
| Mailing Telephone | 2193952142 |
| Mailing Fax Number | 2199294292 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01050773A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
01050773A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00258168 | 01 | |
| IN | ANTHEM | 000000371646 | 01 |
| IN | 200317290 | 05 |
| Street Address |
810 MICHAEL DR SUITE I |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326409392 | Carolyn Bunton-knoll | Physical Therapy Assistant | 810 Michael Dr, Chesterton, IN 46304-2694 | 2016-03-17 |
| 1649613316 | Lindsay Rieck | Nurse Practitioner | 810 Michael Dr, Chesterton, IN 46304-2694 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205343845 | Laury M Wallace | Family Medicine | 16731 Gaither Blvd, Westfield, IN 46074-4607 | 2018-01-04 |
| 1861736456 | Open Door Health Center | Family Medicine | 8466 W Pahs Rd, Michigan City, IN 46360-2919 | 2012-11-20 |
| 1720256068 | Esguerra Medical Practice, Inc. | Family Medicine | 2125 E State Highway 54, Linton, IN 47441-9407 | 2008-02-20 |
| 1720157779 | St Margaret Mercy Healthcare Centers Inc | Family Medicine | 221 Us Highway 41, Suite # 1, Schererville, IN 46375-1277 | 2006-11-06 |
| 1427150523 | Joyce Renee Confer-gill | Family Medicine | 3838 N Rural St, Indianapolis, IN 46205-2930 | 2006-09-01 |
| City | CHESTERTON |
| Zip Code | 46304 |
Please comment or provide details below to improve the information on EASA GHOREISHI.
| 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.