JAMIE VANDERWIELEN (NPI# 1659570554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659570554 |
| Entity Type | Individual |
| Full Name | JAMIE VANDERWIELEN |
| Other Name | JAMIE PETERS |
| Credential | PA |
| Practice Address |
1600 Albany St Beech Grove IN 46107-1541 |
| Mailing Address |
Po Box 7112 Dpt 31 Indianapolis IN 46207-7112 |
| Practice Telephone | 3177838148 |
| Practice Fax Number | 3178700499 |
| Mailing Telephone | 3178023151 |
| Mailing Fax Number | 3178700499 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
99027746A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 ALBANY ST |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733824 | Mary Kathaleen Steinke | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2006-05-04 |
| 1497028112 | Abigail Nicole Emerick | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-10 |
| 1639441462 | Lauren Kathleen Liechty | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2012-02-09 |
| 1063700847 | Franci Taylor Gesell | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-07-14 |
| 1083908966 | Franciscan St. Francis Health | General Acute Care Hospital | 1600 Albany St, Beech Grove, IN 46107-1541 | 2011-06-08 |
| 1396058608 | Jack E Bonham | Physician Assistant | 1600 Albany St, Beech Grove, IN 46107-1541 | 2010-07-16 |
| 1184887994 | Gretchen Kathleen Fisher | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-07-02 |
| 1245406214 | St. Francis Hospital and Health Centers | Psychiatry & Neurology | 1600 Albany St, Beech Grove, IN 46107-1541 | 2008-04-30 |
| 1366624728 | Jeri Dine | Nurse Practitioner | 1600 Albany St, South Entrance Ground Floor, Beech Grove, IN 46107-1541 | 2007-11-28 |
| 1225224777 | Amanda Lee Kendall | Dietitian, Registered | 1600 Albany St, Beech Grove, IN 46107-1541 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
| 1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | BEECH GROVE |
| Zip Code | 46107 |
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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.