FAMILY LIFE CLINIC, PC (NPI# 1558361592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558361592 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE CLINIC, PC |
| Other Organization Name | FAMILY LIFE CLINIC |
| Practice Address |
111 W 10th St Suite 101 Hobart IN 46342-5990 |
| Practice Telephone | 2199470797 |
| Practice Fax Number | 2199426243 |
| Mailing Telephone | 2199470797 |
| Mailing Fax Number | 2199426243 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | PAULA BAKER (OFFICE MANAGER) |
| Authorized Official Telephone | 2199470797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01050865A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200251650 | 05 |
| Other Name | Type Code |
|---|---|
| Family Life Clinic | Doing Business As Name - Organization |
| Street Address |
111 W 10TH ST SUITE 101 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-5990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134468655 | Sharp Image Diagnostics LLC | Physiological Laboratory | 111 W 10th St, Hobart, IN 46342-5990 | 2013-02-04 |
| 1710244686 | Family Health Care Inc | General Practice | 111 W 10th St, Suite 102, Hobart, IN 46342-5990 | 2012-04-17 |
| 1134434731 | Holistic Health Realities LLC | Obstetrics & Gynecology | 111 W 10th St, Suite100, Hobart, IN 46342-5990 | 2010-08-09 |
| 1285862300 | Brenda Davis | Nurse Practitioner | 111 W 10th St, Hobart, IN 46342-5990 | 2009-06-26 |
| 1881877041 | Womens Medical Care LLC | Obstetrics & Gynecology | 111 W 10th St, Suite 101, Hobart, IN 46342-5990 | 2007-12-11 |
| 1871655589 | Srbislav N Brasovan | Obstetrics & Gynecology | 111 W 10th St, Suite 100, Hobart, IN 46342-5990 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053764936 | Michelle Marie Dicostanzo | Family Medicine | 7890 E Ridge Rd, Hobart, IN 46342-2468 | 2016-07-15 |
| 1770728420 | Deepak G Bhojraj M.d. Inc. | Family Medicine | 7781 E Ridge Rd, Suite B, Hobart, IN 46342-2484 | 2008-12-10 |
| 1194895680 | Michael H. Simpson | Family Medicine | 1400 S Lake Park Ave Ste 200, Hobart, IN 46342-6790 | 2006-11-09 |
| 1124128681 | Lauren Woodhouse Harting | Family Medicine | 1356 South Lake Park Avenue, Hobart, IN 46342 | 2006-09-25 |
| 1851326086 | John E Carter | Family Medicine | 164 Bracken Parkway, Hobart, IN 46342-6789 | 2006-07-12 |
| 1760416531 | Karl A Kirby | Family Medicine | 101 W 61st Ave, Hobart, IN 46342-6449 | 2006-07-10 |
| 1831125806 | Mark O Carter | Family Medicine | 164 Bracken Pkwy, Hobart, IN 46342-6789 | 2006-06-23 |
| 1528018249 | Deepak Govind Bhojraj | Family Medicine | 3586 N Hobart Rd, Suite C, Hobart, IN 46342-1442 | 2006-05-11 |
| 1467411645 | Craig Beaty Moore | Family Medicine | 125 North Broadway, Hobart, OK 73651 | 2006-03-17 |
| 1104806967 | Samantha Jackson | Family Medicine | 415 W Forest Ln, Hobart, OK 73651-1645 | 2006-01-18 |
| Find all providers in HOBART | ||||
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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.