BLUFFTON PHYSICIAN SERVICES LLC (NPI# 1497153522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497153522 |
| Entity Type | Organization |
| Organization Name | BLUFFTON PHYSICIAN SERVICES LLC |
| Practice Address |
303 S Main St Bluffton IN 46714-2503 |
| Mailing Address |
7916 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Practice Telephone | 2608243210 |
| Mailing Telephone | 2604346377 |
| Mailing Fax Number | 2604346389 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JENNIFER L JACKSON (SR. DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8778481457 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS/COMMUNITY HEALTH SYSTEMS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043824 | Bluffton Physician Services LLC | Durable Medical Equipment & Medical Supplies | 303 S Main St, Bluffton, IN 46714-2503 | 2015-01-22 |
| 1003858879 | Bluffton Physician Services LLC | Nurse Practitioner | 1026 S Main St, Bluffton, IN 46714-3614 | 2006-06-13 |
| Street Address |
303 S MAIN ST |
| City | BLUFFTON |
| State | IN |
| Zip Code | 46714-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586117 | William Y Oh | Orthopaedic Surgery | 303 S Main St, Bluffton, IN 46714-2503 | 2005-05-31 |
| 1831734946 | Alayna Michelle Hackert | Nurse Anesthetist, Certified Registered | 303 S Main St, Bluffton, IN 46714-2503 | 2019-11-12 |
| 1356839591 | Bluffton Health System LLC | Medicare Defined Swing Bed Unit | 303 S Main St, Bluffton, IN 46714-2503 | 2018-04-24 |
| 1770969339 | Shelley Dunn | Nurse Practitioner | 303 S Main St, Bluffton, IN 46714-2503 | 2015-08-06 |
| 1942687587 | Margiori Celeste Rodriguez Oquendo | Internal Medicine | 303 S Main St, Bluffton, IN 46714-2503 | 2015-05-04 |
| 1487043824 | Bluffton Physician Services LLC | Durable Medical Equipment & Medical Supplies | 303 S Main St, Bluffton, IN 46714-2503 | 2015-01-22 |
| 1437587870 | Maura White | Nurse Anesthetist, Certified Registered | 303 S Main St, Bluffton, IN 46714-2503 | 2013-10-22 |
| 1366687410 | Christopher W Mowery | Physical Therapy Assistant | 303 S Main St, Bluffton, IN 46714-2503 | 2008-12-03 |
| 1730336165 | Rebecca Norton | Speech-Language Pathologist | 303 S Main St, Bluffton, IN 46714-2503 | 2008-08-27 |
| 1336305762 | Abby Malloy | Speech-Language Pathologist | 303 S Main St, Bluffton, IN 46714-2503 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700262953 | Emily Lyn Perkins | Physical Therapist | 2170 Commerce Drive, Bluffton, IN 46714 | 2015-08-10 |
| 1861871170 | Mercy Seat Dentistry | Dental Hygienist | 2155 Commerce Drive, Bluffton, IN 46714 | 2015-05-20 |
| 1396145363 | Shanel G Petty | Pharmacist | 1975 North Main Street, Bluffton, IN 46714 | 2014-08-27 |
| 1740479427 | Erica Jane Roberts | Occupational Therapist | 1100 South Main Street, Bluffton, IN 46714 | 2007-10-18 |
| 1023176575 | Pamela Jane Johnson | Dentist | 1417 Baker Place, Bluffton, IN 46714 | 2006-12-05 |
| 1285698225 | Donald August Dian | Pediatrics | 303 South Main Street, Bluffton, IN 46714 | 2006-04-14 |
| 1306819735 | Juanita E Bryan | Physician Assistant | 125 E Cherry St, Bluffton, IN 46714 | 2006-02-08 |
| 1447231832 | Adams County Memorial Hospital | Skilled Nursing Facility | 720 E Dustman Road, Bluffton, IN 46714 | 2005-11-11 |
| 1720420748 | Kristin Ruth Toliver | Podiatrist | 303 S. Main Street, Bluffton, IN 46714 | 2013-07-18 |
| 1780967125 | Mark William Toetz | Pharmacist | 1975 N Main St, Bluffton, IN 46714 | 2011-09-22 |
| Find all providers in zip 46714 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285065326 | Orthopedic Associates of The Lowcountry, LLC | Internal Medicine | 75 Baylor Drive, Suite 155, Bluffton, SC 29910 | 2013-11-27 |
| 1184973109 | Johnna Hicks Stevens | Internal Medicine | Beaufort Memorial Bluffton Primary Care, 11 Arley Way, Ste 201, Bluffton, SC 29910-4883 | 2012-09-05 |
| 1518257732 | James Zeccola | Internal Medicine | 51 Woods Bay Rd, Bluffton, SC 29910-9543 | 2011-04-08 |
| 1114011947 | Timothy Scharold | Internal Medicine | 1 Mallett Way, Suite 101, Bluffton, SC 29910 | 2006-10-03 |
| 1871522292 | Scott W Cummings | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2006-06-30 |
| 1578507539 | Pekkakuzhiyil M Mathew | Internal Medicine | 303 S Main St Ste 300, Bluffton, IN 46714-2503 | 2006-06-16 |
| 1760476980 | James M. O'malley | Internal Medicine | 40 Okatie Center Blvd S Ste 100, Bluffton, SC 29909-7519 | 2005-09-02 |
| 1437776184 | Marshside Medical, LLC | Internal Medicine | 107 Seagrass Station Rd, Bluffton, SC 29910-9549 | 2020-06-29 |
| 1992327845 | Beaufort County Memorial Hospital | Internal Medicine | 4818 Bluffton Pkwy, Bluffton, SC 29910-4602 | 2020-05-14 |
| 1629698956 | Serene Medicine LLC | Internal Medicine | 107 Seagrass Station Rd, Bluffton, SC 29910-9549 | 2020-04-16 |
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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.