DR. CASEY KATHLEEN MCCLUSKEY (NPI# 1619219995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619219995 |
| Entity Type | Individual |
| Full Name | DR. CASEY KATHLEEN MCCLUSKEY |
| Credential | M.D. |
| Practice Address |
705 Riley Hospital Dr Rm 5867 Pediatric Residency Program Indiana University Som Indianapolis IN 46202-5109 |
| Practice Telephone | 3179444034 |
| Practice Fax Number | 3179441476 |
| Mailing Telephone | 3179444034 |
| Mailing Fax Number | 3179441476 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
29025 | WV | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
129015 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
705 RILEY HOSPITAL DR RM 5867 PEDIATRIC RESIDENCY PROGRAM INDIANA UNIVERSITY SOM |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649830415 | Jorge Moises Gonzales Cordova | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-06-14 |
| 1922661206 | Angela Aboraa Amaniampong | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-22 |
| 1760045124 | Leah Jade Schornick | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-20 |
| 1699338566 | Melanie A Norman | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-17 |
| 1003479262 | Elizabeth Rourke | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-15 |
| 1376106419 | Jennifer Lynn Chmielewski | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-15 |
| 1558824771 | Ambika Bhatnagar | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-14 |
| 1124581301 | Farah Bshesh | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-13 |
| 1427511823 | Roshani Desai | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-11 |
| 1336602846 | Drake Christian Bouzek | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396001194 | Michelle M Gombas | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-04-05 |
| 1194954420 | Paul William Halczenko | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2009-07-08 |
| 1922213057 | Jiuann-huey Ivy Lin | Pediatrics | 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 | 2007-05-11 |
| 1053416784 | David F Westenkirchner | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2006-09-14 |
| 1871602995 | Howard Eigen | Pediatrics | 705 Riley Hospital Dr, Ri 2117, Indianapolis, IN 46202-5109 | 2006-08-30 |
| 1851342208 | Jeffrey C Benson | Pediatrics | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225169196 | Pediatric Pulmonary & Critical Care, PC | Pediatrics | 7910 West Jefferson Blvd., Ste 205, Fort Wayne, IN 46804-4159 | 2007-03-09 |
| 1023198926 | Pediatric Specialty Physicians, PC | Pediatrics | 7429 Inverness Commons, Fort Wayne, IN 46804-3837 | 2006-10-16 |
| 1336161868 | Chandrashekhar Yalamanchali | Pediatrics | 11123 Parkview Plaza Dr Ste 202, Fort Wayne, IN 46845-1707 | 2006-07-24 |
| 1467408237 | Beacon Medical Group, Inc. | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601 | 2006-05-25 |
| 1962496661 | Susanna R Burkhead | Pediatrics | 3700 Washington Avenue, Evansville, IN 47750-0001 | 2005-09-08 |
| 1184012130 | Hari Rasad Gourabathini | Pediatrics | 615 N Michigan St Fl 5, South Bend, IN 46601-1033 | 2014-12-29 |
| 1972892958 | Patrick J Noonan | Pediatrics | 7950 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-4140 | 2011-03-30 |
| 1922193184 | Reuben Cohen | Pediatrics | 600 Mary St, Evansville, IN 47747-0001 | 2006-10-04 |
| 1427087188 | Taveepong Terayanont | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2006-07-02 |
| 1063419166 | Daniel Abraha | Pediatrics | 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4140 | 2005-07-05 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.