ENDOCRINOLOGY DIABETES AND OBESITY CLINIC (NPI# 1609186402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609186402 |
| Entity Type | Organization |
| Organization Name | ENDOCRINOLOGY DIABETES AND OBESITY CLINIC |
| Practice Address |
11805 N Pennsylvania St Carmel IN 46032-4555 |
| Practice Telephone | 3177066733 |
| Practice Fax Number | 3177066723 |
| Mailing Telephone | 3177066733 |
| Mailing Fax Number | 3177066723 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DEMETRIOS T HERODOTU (PRESIDENT) |
| Authorized Official Telephone | 3177066733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
11805 N PENNSYLVANIA ST |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538183025 | Elizabeth S Bowman | Psychiatry & Neurology | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2006-07-27 |
| 1659776433 | Diverse Enterprises | Non-emergency Medical Transport (VAN) | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2014-10-23 |
| 1689010027 | Children's Health Partnership, Inc | Clinic/Center | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2013-05-13 |
| 1104192707 | Pamelia J. Sublett | Social Worker | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2012-03-28 |
| 1164749941 | Proaction Diagnostics LLC | Specialist/Technologist, Other | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2010-05-03 |
| 1356595730 | Michael Forest Herrmann | Social Worker | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2008-11-11 |
| 1972793529 | Melissa M. Gardner | Counselor | 11805 N Pennsylvania St, Carmel, IN 46032-4555 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568930220 | Impact Physician Group, Indiana, LLC | Internal Medicine | 13219 N Meridian St, Carmel, IN 46032-5480 | 2018-11-10 |
| 1538524491 | John Henry Krege | Internal Medicine | 12443 Pebblepointe Pass, Carmel, IN 46033-9686 | 2015-12-19 |
| 1619301165 | Thomas Andrew Hardy | Internal Medicine | 1417 Stoney Creek Cir, Carmel, IN 46032-9115 | 2013-09-02 |
| 1982854725 | James Harry Anderson Jr. | Internal Medicine | 12934 Treaty Line St, Carmel, IN 46032-8382 | 2008-09-29 |
| 1033324223 | Nightingale Care Services | Internal Medicine | 1036 S Range Line Rd, Carmel, IN 46032-2544 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344071 | Deaconess Clinc Inc | Internal Medicine | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-01-06 |
| 1679080683 | Gregory Alan Gaich | Internal Medicine | 5891 N New Jersey St, Indianapolis, IN 46220-2534 | 2017-12-29 |
| 1154833002 | Endocrinology & Diabetes of Indiana LLC | Internal Medicine | 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 | 2017-11-01 |
| 1669909388 | Primariahealth, PC | Internal Medicine | 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 | 2017-05-11 |
| 1083078943 | James K Malone | Internal Medicine | 5256 N Illinois St, Indianapolis, IN 46208-2636 | 2016-04-07 |
| 1356781983 | Jose Francisco Caro | Internal Medicine | 1296 Conner St, Noblesville, IN 46060-2911 | 2013-06-27 |
| 1891040762 | Shrikant Uttam Tamhane | Internal Medicine | 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 | 2012-07-17 |
| 1922379726 | Parkview Health System, Inc. | Internal Medicine | 11141 Parkviewplaza Dr., 210, Fort Wayne, IN 46845-1714 | 2012-01-25 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1477831097 | Milli Jain Gupta | Internal Medicine | 761 45th Ave Ste 110, Munster, IN 46321 | 2011-07-31 |
| 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.