PETER J HEALY (NPI# 1528006657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528006657 |
| Entity Type | Individual |
| Full Name | PETER J HEALY |
| Credential | DO |
| Practice Address |
13100 136th Street Fishers IN 46037-9478 |
| Mailing Address |
250 N Shadeland Ave Suite 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179444705 |
| Practice Fax Number | 3176781325 |
| Mailing Telephone | 3179630860 |
| Mailing Fax Number | 3179624343 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 02002816A | IN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 02002816 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200830590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982761607 | Peter J. Healy | Dentist | 1725 Edison Ave, Lobby C, Bronx, NY 10461-4850 | 2007-01-02 |
| Street Address |
13100 136TH STREET |
| City | FISHERS |
| State | IN |
| Zip Code | 46037-9478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376979245 | Erika A Dunn | Nurse Practitioner | 13100 136th Street, Suite 3400, Fishers, IN 46037-9417 | 2013-09-23 |
| 1669484333 | Bryan R Mayol | Family Medicine | 13100 136th Street, Suite 2000, Fishers, IN 46037-9440 | 2006-08-12 |
| 1992715965 | Thomas W Sliwa | Emergency Medicine | 13100 136th Street, Fishers, IN 46037-9478 | 2006-08-09 |
| 1992749907 | Catherine C Rupp | Internal Medicine | 13100 136th Street, Suite 1200, Fishers, IN 46037-9748 | 2006-06-16 |
| 1255375218 | Jeffrey A Wheeler | Internal Medicine | 13100 136th Street, Suite 1200, Fishers, IN 46037-9748 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1033776604 | Diane M Gianfagna-meils | Reflexologist | 9117 Thoreau Court, Fishers, IN 46037 | 2019-05-20 |
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1578098703 | Galaxy Healthcare Services LLC | Home Health | 12262 Steepleview Ct, Fishers, IN 46037 | 2017-04-25 |
| 1386980472 | Brenda Lynn Thompson | Counselor | 8880 Jaywick Dr Apt 206, Fishers, IN 46037 | 2012-12-18 |
| 1972887941 | Molly E Bruvold | Pharmacist | 13741 East 116th Street, Fishers, IN 46037 | 2011-10-07 |
| 1588970867 | Marie C. Holt, Dds | Dentist | 7862 E. 96th St., Fishers, IN 46037 | 2010-08-25 |
| 1114157815 | Francis Edward Mcaree Jr. | Obstetrics & Gynecology | 10907 300 Yd. Dr, Fishers, IN 46037 | 2009-07-16 |
| 1740433820 | Robert Gerald Klitzman | Orthopaedic Surgery | 13100 E. 136th St., Suite 2000, Fishers, IN 46037 | 2008-11-03 |
| Find all providers in zip 46037 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1851633366 | David B Woodward | Emergency Medicine | 10802 Giselle Way, Fishers, IN 46040-9003 | 2013-03-22 |
| 1841379682 | William Howard Cordell Jr. | Emergency Medicine | 10518 Tremont Ln, Fishers, IN 46037-9668 | 2006-11-03 |
| 1033157599 | Gaurav Arora | Emergency Medicine | 13000 E 136th St, Fishers, IN 46037-9478 | 2006-06-04 |
| 1801843107 | Gail A Brown | Emergency Medicine | 13100 136th St, Fishers, IN 46037-9478 | 2006-05-30 |
| 1457340622 | Carl M Pafford | Emergency Medicine | 8890 E 116th St, Suite 300, Fishers, IN 46038-2820 | 2005-10-19 |
| 1457694770 | Anthony Gordon | Emergency Medicine | 11845 Allisonville Rd, Fishers, IN 46038-2313 | 2013-04-04 |
| 1992715965 | Thomas W Sliwa | Emergency Medicine | 13100 136th Street, Fishers, IN 46037-9478 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
| 1073939450 | Whitney Miller | Emergency Medicine | 10343 Dawsons Creek Blvd Ste A, Fort Wayne, IN 46825 | 2014-03-10 |
| 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.