JOHN MATTHEW RADOSEVICH


Address: 807 Glendale Blvd, Valparaiso, IN 46383-3718
Phone: 2195311999

JOHN MATTHEW RADOSEVICH (NPI# 1487717120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487717120
Entity Type Individual
Full Name JOHN MATTHEW RADOSEVICH
Credential D.O.
Practice Address 807 Glendale Blvd
Valparaiso
IN 46383-3718
Mailing Address 297 Hunt Club Dr
Valparaiso
IN 46385-9249
Practice Telephone 2195311999
Mailing Telephone 2195482345
Enumeration Date 2006-12-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
02001630A IN Allopathic & Osteopathic Physicians

Other Providers JOHN RADOSEVICH

NPI Name Taxonomy Address Enumeration
1720489388 John Radosevich Pharmacist 4570 E Cactus Rd, Phoenix, AZ 85032-7702 2014-09-12

Office Location

Street Address 807 GLENDALE BLVD
City VALPARAISO
State IN
Zip Code 46383-3718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144206459 Judy L Davis Ophthalmology 807 Glendale Blvd, Valparaiso, IN 46384-2023 2005-12-19
1790837763 3-d Vision Incorporated Ophthalmology 807 Glendale Blvd, Valparaiso, IN 46384-2023 2007-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962860 Andrea Abbett Pharmacist 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 2020-11-03
1144868043 Callan Gannon Jones Registered Nurse 83 E Us-6 Frontage Road, Valparaiso, IN 46383 2019-12-11
1972163806 Melissa E Valtierra Counselor 204 Valparaiso St, Valparaiso, IN 46383 2019-06-13
1003472721 Roman Podiatry Partners Inc Podiatrist 2308 N. Roosevelt, Valparaiso, IN 46383 2019-05-17
1831654680 Mark Esiyeden Driver 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 2019-02-06
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1285112334 Tricia Louise Burkins Nurse Practitioner 1861 South Sturdy Road, Valparaiso, IN 46383 2018-08-01
1598262388 Elizabeth R Kozak Physical Therapist 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 2018-04-09
1588160725 Innovative Counseling Solutions LLC Social Worker 8 Morgan Street, Valparaiso, IN 46383 2018-04-05
1275034860 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 405 Porters Vale Boulevard, Valparaiso, IN 46383 2018-02-28
Find all providers in zip 46383

Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881030450 Thaddeus Joseph Puzio Surgery 1801 N Senate Blvd Dept Surgery, Indianapolis, IN 46202 2013-05-22
1700324720 Brittlebank Acute Trauma Specialists LLC Surgery 3901 S 7th St, Terre Haute, IN 47802-5709 2017-02-09
1295185858 Wabash Valley Surgical Associates LLC Surgery 3901 S 7th St, Terre Haute, IN 47802-5709 2016-06-15
1912305699 Baikal Surgical Specialists LLC Surgery 3901 S 7th St, Terre Haute, IN 47802-5709 2014-12-12
1528357118 Cecivon Arreola-garcia Surgery 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 2011-04-04
1306098439 Constantine G Saites Surgery 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 2008-10-21
1669576997 Parkview Hospital, Inc. Surgery 11109 Parkview Plaza Dr, Trauma Unit, Fort Wayne, IN 46845-1701 2006-09-08

Competitor

Search similar providers

City VALPARAISO
Zip Code 46383

Improve Information

Please comment or provide details below to improve the information on JOHN MATTHEW RADOSEVICH.

Dataset Information

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.

Trending Searches