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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
02001630A | IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720489388 | John Radosevich | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2014-09-12 |
Street Address |
807 GLENDALE BLVD |
City | VALPARAISO |
State | IN |
Zip Code | 46383-3718 |
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 |
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 Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
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/. |
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 |
City | VALPARAISO |
Zip Code | 46383 |
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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.