BETHANY ANN WAIT (NPI# 1447458096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447458096 |
| Entity Type | Individual |
| Full Name | BETHANY ANN WAIT |
| Credential | DO |
| Practice Address |
1811 Charlton Ct Goshen IN 46526-6464 |
| Practice Telephone | 5745348200 |
| Mailing Telephone | 5745348200 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2011-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11013783A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICAL RESIDENCY PERMIT | 11013783A | 01 |
| Street Address |
1811 CHARLTON CT |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-6464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906084 | Timothy Dwayne Thut | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2006-08-05 |
| 1346690773 | Michael Brian Fecher | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2016-06-16 |
| 1023427598 | Arin Miller | Nurse Practitioner | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2014-08-08 |
| 1124258124 | Casilda Cabral Chenier | Physician Assistant | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2009-07-24 |
| 1528296373 | Kathryn Elaine Michalczyk | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2009-06-30 |
| 1598923997 | Amanda Dianne Schmidt | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2008-06-02 |
| 1255402392 | Lane C. Reed | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2006-11-12 |
| 1033292735 | Goshen Family Physicians | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2006-10-24 |
| 1669566246 | Barbara Joan Meyer | Family Medicine | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2006-10-03 |
| 1720172539 | Deena R Elizalde | Nurse Practitioner | 1811 Charlton Ct, Goshen, IN 46526-6464 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.