MICHIANA INTERNAL MEDICINE PC (NPI# 1467571570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467571570 |
| Entity Type | Organization |
| Organization Name | MICHIANA INTERNAL MEDICINE PC |
| Practice Address |
525 W Bristol St Elkhart IN 46514-2964 |
| Practice Telephone | 5742955900 |
| Practice Fax Number | 5742955922 |
| Mailing Telephone | 5742955900 |
| Mailing Fax Number | 5742955922 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | DR. ISRAR AZIM SIDDIQI (PRESIDENT) |
| Authorized Official Telephone | 5742955900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
50004928A | IN | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 E Bristol St Ste B, Elkhart, IN 465143476 | 5742955900 | 5742955922 |
| Street Address |
525 W BRISTOL ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490433 | Regional Health Care Professionals Inc | Home Health | 525 W Bristol St, Elkhart, IN 46514-2964 | 2005-10-10 |
| 1326414160 | Stephanie Kay Kertes | Nurse Practitioner | 525 W Bristol St, Elkhart, IN 46514-2964 | 2015-08-17 |
| 1346289501 | Israr Azim Siddiqi | Internal Medicine | 525 W Bristol St, Elkhart, IN 46514-2964 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1093360059 | Activate Healthcare - Waste Away Grp | Clinic/Center | 1621 W Beardsley Ave, Elkhart, IN 46514-1825 | 2019-08-07 |
| 1396236659 | Activate Healthcare - Elkhart County | Clinic/Center | 1001 Parkway Ave Ste 11, Elkhart, IN 46516-9347 | 2018-05-22 |
| 1457759219 | Activate Healthcare - Elkhart Schools Clinic | Clinic/Center | 2424 California Rd, Elkhart, IN 46514-1226 | 2014-12-10 |
| 1356748396 | Quad Med LLC | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2014-11-19 |
| 1235384744 | Craig E. Meyer, M.d., F.a.c.s. | Clinic/Center | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1316506801 | Actuvate Healthcare LLC | Clinic/Center | 2707 S. Westrn Ave, Marion, IN 46953-3565 | 2019-06-10 |
| 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.