THEODORE W BROGAN (NPI# 1639173438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639173438 |
Entity Type | Individual |
Full Name | THEODORE W BROGAN |
Credential | MD |
Practice Address |
3611 S Reed Rd Ste 213 Kokomo IN 46902-3806 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
Practice Telephone | 7658656076 |
Practice Fax Number | 7658656077 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2020-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 01048142 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200188340 | 05 | |
IN | ANTHEM | 000000557418 | 01 |
Street Address |
3611 S REED RD STE 213 |
City | KOKOMO |
State | IN |
Zip Code | 46902-3806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407493901 | Jill Brock | Nurse Practitioner | 3611 S Reed Rd, Kokomo, IN 46902-3806 | 2019-12-03 |
1649710278 | Christy Harvey | Social Worker | 3611 S Reed Rd, Ste 106, Kokomo, IN 46902-3806 | 2017-03-01 |
1568911337 | Charles Allison Dpm LLC | Podiatrist | 3611 S Reed Rd, Ste 104, Kokomo, IN 46902-3806 | 2016-09-22 |
1871897538 | Hemelt Neurology, LLC | Psychiatry & Neurology | 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3806 | 2011-01-10 |
1508171810 | Joseph Michael E Yamamoto | Family Medicine | 3611 S Reed Rd, Ste 214, Kokomo, IN 46902-3806 | 2010-08-11 |
1184868176 | Board of Trustees of Howard Community Hospital | Anesthesiology | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 | 2009-04-22 |
1962645861 | Heartland Cardiologypc | Clinic/Center | 3611 S Reed Rd, Suite 106, Kokomo, IN 46902-3828 | 2009-04-08 |
1649424946 | Board of Trustees of Howard Community Hospital | Internal Medicine | 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3828 | 2008-11-13 |
1710151816 | Board of Trustees of Howard Community Hospital | Anesthesiology | 3611 S Reed Rd, Suite 103, Kokomo, IN 46902-3828 | 2008-04-18 |
1487826483 | Board of Trustees of Howard Community Hospital | Internal Medicine | 3611 S Reed Rd, Suite 212, Kokomo, IN 46902-3828 | 2008-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
Find all providers in zip 46902 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1780882449 | Deshini A Moonesinghe | Internal Medicine | 3500 S Lafountain Street, Kokomo, IN 46902-3803 | 2007-07-04 |
1932300241 | Arun Agrawal | Internal Medicine | 3500 S. Lafountain Street, Kokomo, IN 46902-3803 | 2007-05-31 |
1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
1811061120 | Carl Edwin Kuenzli | Internal Medicine | 3492 Candy Ln, Kokomo, IN 46902-4412 | 2006-11-20 |
1073542940 | Julie B Tredemeyer | Internal Medicine | 3611 S Reed Rd Ste 103, Kokomo, IN 46902-3828 | 2006-07-02 |
1407817109 | James M Scheffler | Internal Medicine | 2030 W Boulevard, Kokomo, IN 46902-6079 | 2006-03-31 |
1912978776 | Dustardie D Reed | Internal Medicine | 3900 Southland Ave, Kokomo, IN 46902 | 2006-01-30 |
1891776779 | Chris Bahler | Internal Medicine | 1907 W Sycamore St Fl 3, Kokomo, IN 46901 | 2005-11-08 |
1740280015 | Baikadi A Ravindra IIi | Internal Medicine | 3505 S Reed Rd, Kokomo, IN 46902-3838 | 2005-07-28 |
1700882701 | Gerald Kevin Greer | Internal Medicine | 2401 Columbus Blvd, Kokomo, IN 46901-6455 | 2005-06-23 |
Find all providers in KOKOMO |
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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.