MICHAEL KNIPP (NPI# 1639368400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639368400 |
| Entity Type | Individual |
| Full Name | MICHAEL KNIPP |
| Credential | M.D., M.S. |
| Practice Address |
3103 E State Blvd Fort Wayne IN 46805-4738 |
| Mailing Address |
4512 Sandia Run Fort Wayne IN 46845-9075 |
| Practice Telephone | 2603739300 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01071188A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3103 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463907 | Sharon J. Marrs | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2005-11-04 |
| 1225466949 | Jan Lorraine Miller | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2013-10-15 |
| 1679739718 | Carin Elisabeth Foss | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2008-07-29 |
| 1417147869 | Kristen L Ziel | Physician Assistant | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2007-07-31 |
| 1235351602 | Parkview Occupational Health Centers, Inc. | Clinic/Center | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2007-05-03 |
| 1497874556 | Cindy G. Spryn | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2007-03-28 |
| 1124133582 | Angela Sue Hartman | Nurse Practitioner | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568572808 | Thomas Savoie | Preventive Medicine | 621 Fox Hound Way Apt 1b, Fort Wayne, IN 46804-2343 | 2006-08-30 |
| 1063635464 | Daniel J Simmonds | Preventive Medicine | 302 E Jefferson Blvd, Fort Wayne, IN 46802-3114 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1104263227 | Saligrama A Ranganath | Preventive Medicine | 1251 Eastport Centre Dr Ste B, Valparaiso, IN 46383-2904 | 2013-05-30 |
| 1174866156 | St. Vincent Hospital and Health Care Center, Inc. | Preventive Medicine | 4800 S 975 E, Zionsville, IN 46077-8252 | 2013-03-28 |
| 1114220589 | Scott Brian Edwards | Preventive Medicine | 50680 Pheasant Cove Dr, Granger, IN 46530-7583 | 2010-12-07 |
| 1265746689 | Floyd Edward Thurston | Preventive Medicine | 3310 E Mulberry Ct, Bloomington, IN 47401-2425 | 2010-07-27 |
| 1023278207 | Dorothy J. Lenzi | Preventive Medicine | 301 N Curry Pike, Bloomington, IN 47404-2502 | 2008-06-11 |
| 1184890212 | St. Francis Hospital and Health Centers | Preventive Medicine | 315 N Dan Jones Rd, Suite 120, Plainfield, IN 46168-2817 | 2008-05-08 |
| 1790969467 | St. Vincent Madison County Health System, Inc. | Preventive Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.