SUSHIL JAIN (NPI# 1497749238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497749238 |
| Entity Type | Individual |
| Full Name | SUSHIL JAIN |
| Credential | MD |
| Practice Address |
11050 Parkview Circle Dr Fort Wayne IN 46845 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 8337248326 |
| Practice Fax Number | 2604256845 |
| Mailing Telephone | 2602666013 |
| Mailing Fax Number | 2604585831 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
01058235 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OH MEDICAID UNISON | 000000263296 | 01 |
| OH | 061794 | 05 | |
| OH | OH MEDICAID MOLINA | 0617943 | 01 |
| OH | OH MEDICAID CARESOURCE | 310917085202 | 01 |
| WV | 3810014440 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1538147152 | Sushil Kumar Jain | Internal Medicine | 5041 Victor Dr, Unit C, Medina, OH 44256-2666 | 2006-01-04 |
| 1649247057 | Sushil K. Jain | Internal Medicine | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2006-03-03 |
| 1740260041 | Sushil K Jain | Optometrist | 10580 Arrowhead Drive, Fairfax Health Center, Fairfax, VA 22030 | 2006-01-20 |
| Street Address |
11050 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289701 | Linda K Han | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-20 |
| 1457965972 | Christa Michelle Houser | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-09-02 |
| 1457973331 | Molly Brennan | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-13 |
| 1568084978 | Lauren Harden | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-08 |
| 1053942458 | Catherine Meyer | Nurse Practitioner | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-02-04 |
| 1760037394 | David Rosenbeck | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-08-09 |
| 1497309371 | Emily Grindley | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-29 |
| 1992358063 | Brittany L Hartman | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-18 |
| 1326609173 | Kristin N Oehler | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-06-24 |
| 1285195339 | Ethan K Bennett | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609039148 | Takefumi Komiya | Internal Medicine | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133555 | Horizon Medical Group, Inc | Internal Medicine | 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 | 2017-09-28 |
| 1346515665 | Coleman Obasaju | Internal Medicine | 12098 Ashcroft Pl, Carmel, IN 46032-8901 | 2012-03-20 |
| 1780918987 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 | 2009-09-22 |
| 1902038060 | Waldo I Ortuzar | Internal Medicine | 13869 Kickapoo Tr., Carmel, IN 46033-8545 | 2009-08-21 |
| 1558562371 | Cecilia Choi | Internal Medicine | 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 | 2007-05-30 |
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1275597650 | William S Kamanda | Internal Medicine | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-04-13 |
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1982685533 | Rathipriya Mahendran | Internal Medicine | 831 Theatre Drive, Marion, IN 46952-4470 | 2005-11-10 |
| 1750372819 | Robert J Steele | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on SUSHIL JAIN.
| 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.