ST CLARE HEALTH NETWORK (NPI# 1609940105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609940105 |
| Entity Type | Organization |
| Organization Name | ST CLARE HEALTH NETWORK |
| Other Organization Name | EASTSIDE FAMILY MEDICINE |
| Practice Address |
2056 Lebanon Rd Crawfordsville IN 47933-2143 |
| Mailing Address |
1710 Lafayette Rd Crawfordsville IN 47933-1033 |
| Practice Telephone | 7653619923 |
| Mailing Telephone | 7653622800 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | JIM SIEMERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7653622800 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLARE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Eastside Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619042066 | St Clare Health Network | Obstetrics & Gynecology | 1630 Lafayette Rd, Suite 200, Crawfordsville, IN 47933-1090 | 2006-11-21 |
| 1801961255 | St Clare Health Network | Family Medicine | 1704 Lafayette Rd, Crawfordsville, IN 47933-1071 | 2006-11-21 |
| 1376614370 | St Clare Health Network | Internal Medicine | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-11-13 |
| 1447321997 | St Clare Health Network | Obstetrics & Gynecology | 1630 Lafayette Rd, Suite 200, Crawfordsville, IN 47933-1090 | 2006-11-13 |
| Street Address |
2056 LEBANON RD |
| City | CRAWFORDSVILLE |
| State | IN |
| Zip Code | 47933-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396816922 | Barry A Mathison | Family Medicine | 2056 Lebanon Rd, Crawfordsville, IN 47933-2143 | 2006-11-13 |
| 1598836132 | Steven Trimble | Physician Assistant | 2056 Lebanon Rd, Crawfordsville, IN 47933-2143 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370454 | Mh Nursing of Indiana, PC | Nurse Practitioner | 600 Sr32 West, Crawfordsville, IN 47933 | 2019-05-01 |
| 1336678192 | Latoyia Cherdise Austin | Nurse Practitioner | 600 Sr 32 West, Crawfordsville, IN 47933 | 2017-06-06 |
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| 1487849063 | Assisted Living Concepts Inc | Assisted Living Facility | 1719 South Elm Street, Crawfordsville, IN 47933 | 2007-09-07 |
| 1912129503 | Stephen W. Rasmussen | Dentist | 1485 S. Grant Ave., Suite B, Crawfordsville, IN 47933 | 2007-05-03 |
| 1932244597 | Stephanie Elaine Ford | Physical Therapist | 402 W Market, Crawfordsville, IN 47933 | 2007-02-21 |
| 1285776906 | Thomas A. Clemens | Optometrist | 1615 U.S. 231 South, Crawfordsville, IN 47933 | 2007-02-12 |
| 1730256819 | Nancy Jane Davis | Social Worker | 468 N Woodland Heights Dr, Crawfordsville, IN 47933 | 2006-11-30 |
| 1881761963 | Jennifer Sue Slavens | Counselor | 468 N Woodland Heights Drive, Crawfordsville, IN 47933 | 2006-11-30 |
| 1639249188 | Regina Lee Endicott | Nurse Practitioner | 4537 S Nucor Rd, Crawfordsville, IN 47933 | 2006-11-09 |
| Find all providers in zip 47933 | ||||
| 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 |
|---|---|---|---|---|
| 1548442544 | Family and Urgent Care, LLC | Family Medicine | 501 Lafayette Ave, Crawfordsville, IN 47933-1337 | 2007-11-30 |
| 1396816922 | Barry A Mathison | Family Medicine | 2056 Lebanon Rd, Crawfordsville, IN 47933-2143 | 2006-11-13 |
| 1487680005 | Harishchandra Rathod | Family Medicine | 1641 S Us Highway 231, Crawfordsville, IN 47933-9421 | 2006-06-24 |
| 1659318194 | Scott K Douglas | Family Medicine | 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | 2006-06-01 |
| 1154317907 | Timothy R Tanselle | Family Medicine | 1500 Darlington Ave, Ste 300, Crawfordsville, IN 47933-2057 | 2005-09-26 |
| 1053732008 | Urgent Care Physicians PC | Family Medicine | 1641 S Us Highway 231, Crawfordsville, IN 47933-9421 | 2013-12-18 |
| 1790123891 | Kyle Robert Graper | Family Medicine | 1630 Lafayette Rd Ste 200, Crawfordsville, IN 47933-1092 | 2013-06-11 |
| 1841589280 | Joshua Krumenacker | Family Medicine | 1630 Lafayette Rd Ste 200, Crawfordsville, IN 47933-1092 | 2011-04-06 |
| 1295061802 | Eugene F Tan | Family Medicine | 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | 2009-11-02 |
| 1851553796 | Roger Gandionco | Family Medicine | 1500 Darlington Ave, Suite 300, Crawfordsville, IN 47933-2060 | 2008-07-01 |
| Find all providers in CRAWFORDSVILLE | ||||
| City | CRAWFORDSVILLE |
| Zip Code | 47933 |
Please comment or provide details below to improve the information on ST CLARE HEALTH NETWORK.
| 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.