MEDOVATE, LLC (NPI# 1457998692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457998692 |
| Entity Type | Organization |
| Organization Name | MEDOVATE, LLC |
| Practice Address |
9305 Calumet Ave Ste A1 Munster IN 46321-2888 |
| Mailing Address |
1450 Busch Pkwy Buffalo Grove IL 60089-4541 |
| Practice Telephone | 8474995500 |
| Mailing Telephone | 8474995500 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | DAVID MANN (PARTNER) |
| Authorized Official Telephone | 8474995500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816835 | Medovate, LLC | Clinic/Center | 1450 Busch Pkwy Ste 145, Buffalo Grove, IL 60089-4541 | 2018-03-26 |
| Street Address |
9305 CALUMET AVE STE A1 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346597655 | Franciscan Medical Specialists | Dermatology | 757-45th Street, Ste 201, Munster, IN 46321 | 2012-08-07 |
| 1427091545 | Donna H Ward | Dermatology | 9120 Columbia Ave, Munster, IN 46321 | 2006-06-14 |
| 1811402423 | Dermio Dermatology, LLC | Dermatology | 9200 Calumet Ave Ste 203, Munster, IN 46321-2885 | 2017-12-05 |
| 1760671119 | Tarun Kukreja | Dermatology | 7905 Calumet, Hammond Clinic LLC, Munster, IN 46321-1215 | 2007-10-22 |
| 1144418914 | Lauren Elisabeth Cerullo | Dermatology | 9200 Calumet Ave, Ste 203, Munster, IN 46321-2885 | 2007-10-05 |
| 1548460173 | Namrata Jagdish Shah | Dermatology | 7905 Calumet Ave, Munster, IN 46321-1215 | 2007-07-22 |
| 1316085129 | Ahmad Fathi | Dermatology | 9130 Columbia Ave, Suite A, Munster, IN 46321 | 2007-02-02 |
| 1063519296 | Skin Vein & Cosmetic Surgery Clinic PC | Dermatology | 9130 Columbia Ave, Suite A, Munster, IN 46321 | 2006-09-20 |
| 1740203819 | Arman Soleymani | Dermatology | 9200 Calumet Ave, Suite 203, Munster, IN 46321-2885 | 2006-07-26 |
| 1316993959 | Mark Gordon | Dermatology | 7905 Calumet Ave, Munster, IN 46321-1215 | 2006-05-25 |
| Find all providers in MUNSTER | ||||
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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.