CENTER FOR OPTIMAL HEALTH (NPI# 1528369428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528369428 |
| Entity Type | Organization |
| Organization Name | CENTER FOR OPTIMAL HEALTH |
| Practice Address |
415 W First Street Bloomington IN 47403 |
| Practice Telephone | 8123339650 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | ELVIA A GREATHOUSE (M.D) |
| Authorized Official Telephone | 8123339650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
01064349 | CO | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR OPTIMAL HEALTH | 3300 Wilcox Blvd Ste 200, Chattanooga, TN 37411-1073 |
| Street Address |
415 W FIRST STREET |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1760473169 | Brandt L Ludlow | Obstetrics & Gynecology | 628 S Christopher Dr, Bloomington, IN 47401-4899 | 2005-11-03 |
| 1922093137 | Robert William Richey | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2005-09-14 |
| 1437159704 | Sun San Lin | Obstetrics & Gynecology | 2205 Oakwood Ave, Bloomington, IL 61704-2413 | 2005-07-28 |
| 1760661029 | Brandt L Ludlow, M.d., LLC | Obstetrics & Gynecology | 411 W 1st St, Bloomington, IN 47403-2403 | 2007-11-02 |
| 1346363983 | Womens Health Associates of Central Il, Ltd | Obstetrics & Gynecology | 1505 Eastland Dr, Suite 250, Bloomington, IL 61701-3534 | 2007-04-09 |
| 1780700229 | Rebecca Brewer Md LLC | Obstetrics & Gynecology | 3925 Hagan St, Suite 104, Bloomington, IN 47401-8556 | 2007-03-22 |
| 1982736062 | Wendy Kinsey Corning, M.d., LLC | Obstetrics & Gynecology | 383 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8574 | 2007-03-12 |
| 1295765634 | Gynecology Associates, PC | Obstetrics & Gynecology | 654 S Walker St, Bloomington, IN 47403-2159 | 2006-07-03 |
| 1073508040 | Philip Clark Brittain | Obstetrics & Gynecology | 642 S Walker St, Bloomington, IN 47403-2158 | 2005-09-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on CENTER FOR OPTIMAL HEALTH.
| 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.