SERENA MATHEWS (NPI# 1659803484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659803484 |
| Entity Type | Individual |
| Full Name | SERENA MATHEWS |
| Credential | M.D. |
| Practice Address |
536 N Harding Ave Mishawaka IN 46544-3827 |
| Practice Telephone | 5743238497 |
| Mailing Telephone | 5743238497 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
536 N HARDING AVE |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790312890 | Akanksha Ashwini | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1225665565 | Christina Pedro | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1043847221 | Zoe Marie Simaz | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2020-03-26 |
| 1568099042 | Nicholas Joseph Walter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-25 |
| 1447887187 | Andrew Hyrcza | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1669009379 | Aditya Voruganti | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1467089185 | Jeremy Carter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1437786233 | Timothy Aaron Lehman | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1356978233 | Sheena Paresh Shah | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| 1992332712 | Jessica Ann Williams | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| Find all providers in MISHAWAKA | ||||
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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.