JOSHUA PUIG (NPI# 1679019863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679019863 |
| Entity Type | Individual |
| Full Name | JOSHUA PUIG |
| Credential | PA-C |
| Practice Address |
1205 S Main St Ste 101 Crown Point IN 46307 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2196620077 |
| Practice Fax Number | 2196629496 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002663A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA11148 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE MEDICAL BOARD | PA11148 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 810 Se Military Dr, San Antonio, TX 782142823 | 2109214200 | 2109228181 |
| Street Address |
1205 S MAIN ST STE 101 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500999 | Gary R. Brigham | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2005-07-05 |
| 1942825930 | Meghan Tuominen | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2020-06-15 |
| 1689190100 | Kaitlin Kendys | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2017-08-16 |
| 1841649480 | Catherine Rose Lara | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2016-06-04 |
| 1841477551 | Kelly Renee Rychter | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2008-01-24 |
| 1861507253 | Daniel Richard Meldrum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-08-19 |
| 1487619805 | Tariq Hameed | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502422 | Natalie Marie Sanchez | Physician Assistant | 8641 Hanley Ln, Crown Point, IN 46307-1542 | 2020-06-09 |
| 1275047466 | Cody Evan Whitney | Physician Assistant | 17 Miller Road, Crown Point, NY 12928-2530 | 2017-11-27 |
| 1275654071 | Lydia Marquez | Physician Assistant | 2293 N Main St, Crown Point, IN 46307-1854 | 2007-04-02 |
| 1598366155 | John Peter Kern IIi | Physician Assistant | 11275 Delaware Pkwy, Crown Point, IN 46307-7812 | 2020-11-02 |
| 1942825930 | Meghan Tuominen | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2020-06-15 |
| 1821561077 | Sarah Anderson | Physician Assistant | 70 W 94th Pl, Crown Point, IN 46307-1710 | 2019-01-09 |
| 1568861300 | Michael Timothy Strazzante | Physician Assistant | 11055 Broadway, Crown Point, IN 46307-9177 | 2014-08-18 |
| 1205247400 | Nuthatch Emergency Physicians Pllc | Physician Assistant | 1201 S Main St, Crown Point, IN 46307-8481 | 2014-05-12 |
| 1699929513 | Gwen Behm | Physician Assistant | 1200 Luther Dr, Crown Point, IN 46307-5043 | 2008-11-05 |
| 1134141591 | Eileen M Stulgis | Physician Assistant | 1205 S Main St, Crown Point, IN 46307-3676 | 2006-07-24 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.