PAUL E GANDY (NPI# 1568417442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568417442 |
| Entity Type | Individual |
| Full Name | PAUL E GANDY |
| Credential | MD |
| Practice Address |
830 N Theatre Drive Marion IN 46952-1700 |
| Mailing Address |
830 North Baldwin Ave Marion IN 46952-2542 |
| Practice Telephone | 7656624142 |
| Practice Fax Number | 4198665453 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
01059985A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01059985A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000519329 | 01 |
| IN | 200509010 | 05 | |
| IN | MEDICARE RAILROAD | P00414325 | 01 |
| Street Address |
830 N THEATRE DRIVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073912440 | Larry L Heck | Radiology | 47 Hickory Ridge Cir, Cicero, IN 46034-9737 | 2014-08-21 |
| 1467776385 | Lil Family Inc | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2010-03-22 |
| 1750547493 | Rajiv Kumar | Radiology | 8701 Broadway, Merrillville, IN 46410-7035 | 2008-08-01 |
| 1992872634 | Suk S Lee M.d. Inc | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-11-29 |
| 1881779700 | Jonathan Wade Weiss | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2006-10-26 |
| 1699705251 | Aslam R Siddiqui | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-07-03 |
| 1447286695 | Nufinity - Woodlawn, LLC | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-06-22 |
| 1720021694 | Steven Westphal | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1750324737 | Donald S Schauwecker | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1699718098 | Gonzalo T Chua | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 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.