PRAVEEN C PERNI (NPI# 1437368479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437368479 |
| Entity Type | Individual |
| Full Name | PRAVEEN C PERNI |
| Credential | MD |
| Practice Address |
8607 E Us Highway 36 Ste 100 Avon IN 46123-7960 |
| Practice Telephone | 3177455403 |
| Practice Fax Number | 3177458017 |
| Mailing Telephone | 3177455403 |
| Mailing Fax Number | 3177458017 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
01067826A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200996340 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12188b N Meridian St Ste 260, Carmel, IN 460324840 | 3172803866 | 3172083867 |
| 2330 S Dixon Rd, Kokomo, IN 469026411 | 7654555400 | 7658653912 |
| 17600 Shamrock Blvd Ste 600b, Westfield, IN 460747002 | 3172083866 | 3177208386 |
| Street Address |
8607 E US HIGHWAY 36 STE 100 |
| City | AVON |
| State | IN |
| Zip Code | 46123-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467553149 | Christopher M Wilson | Psychiatry & Neurology | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2006-09-26 |
| 1972104461 | Jennifer Pelley | Registered Nurse | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-11-03 |
| 1457983579 | Robin Lynn Shaver | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-02-06 |
| 1659756484 | Matthew Nettleman | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2015-07-22 |
| 1184009961 | Tara E. Kegeris | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2015-07-22 |
| 1528490224 | Christina M Mcclain | Physician Assistant | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2013-08-05 |
| 1215252754 | Daniel Kevin Storey | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2010-03-27 |
| 1437318706 | Abbie M Tolliver | Internal Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2008-06-03 |
| 1194808436 | Mark Benson | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-23 |
| 1497844393 | Mary Schmoll | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144667635 | Indiana Spine Group, PC | Orthopaedic Surgery | 1115 N. Ronald Reagan Pkwy., Suite 148, Avon, IN 46123-6913 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
| 1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
| 1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
| 1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
| 1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
| 1851494371 | Northwest Indiana Spinal Surgery, P.C. | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2006-09-07 |
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| 1215906029 | John M Gorup | Orthopaedic Surgery | 1345 Unity Place, Suite 310, Lafayette, IN 47905-5769 | 2006-03-15 |
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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.