COMMUNITY CARE NETWORK, INC (NPI# 1689086001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689086001 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE NETWORK, INC |
| Practice Address |
3800 Saint Mary Rd Suite 102 Valparaiso IN 46383-3986 |
| Mailing Address |
1500 S Lake Park Ave Managed Care Department Hobart IN 46342-6638 |
| Practice Telephone | 2192863707 |
| Practice Fax Number | 2192863708 |
| Mailing Telephone | 2199476113 |
| Mailing Fax Number | 2199476503 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | RICHARD BUCHLER (DIRECTOR) |
| Authorized Official Telephone | 2199476113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501212 | Community Care Network, Inc | Family Medicine | 3432 169th St, Hammond, IN 46323-2542 | 2014-05-20 |
| 1568776060 | Community Care Network, Inc | Urology | 3545 Arbors St, Portage, IN 46368-4297 | 2010-07-27 |
| 1790156214 | Community Care Network, Inc | Podiatrist | 6375 Us Highway 6, Suite D, Portage, IN 46368-5217 | 2015-10-09 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1538576350 | Community Care Network, Inc | Internal Medicine | 3800 Saint Mary Rd, Suite 103, Valparaiso, IN 46383-3986 | 2014-07-14 |
| 1629480686 | Community Care Network, Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2014-05-27 |
| 1912319393 | Community Care Network, Inc | Family Medicine | 7651 Harvest Dr, Schererville, IN 46375-3476 | 2014-05-20 |
| 1245667773 | Community Care Network, Inc | Urology | 3800 Saint Mary Rd, Suite 205, Valparaiso, IN 46383-3986 | 2013-09-30 |
| 1528495058 | Community Care Network, Inc | Urology | 10607 Randolph St, Suite C, Crown Point, IN 46307-7504 | 2013-09-30 |
| 1689000705 | Community Care Network, Inc | Orthopaedic Surgery | 4320 Fir St, Suite 201, East Chicago, IN 46312-3052 | 2013-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Connecticut Business Registrations | COMMUNITY CARE NETWORK, INC. | Po Box 750, Nashville, TN 37202-0750 |
| Washington State Corporations | COMMUNITY CARE NETWORK, INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| Oklahoma Business Registrations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct, San Diego, CA 92123 |
| Indiana Business Entities | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Colorado Business Entities | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Court, San Diego, CA 92123 |
| Street Address |
3800 SAINT MARY RD SUITE 102 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567145 | Snezana M Zubic | Internal Medicine | 3800 Saint Mary Rd, Ste 103, Valparaiso, IN 46383-3986 | 2005-06-10 |
| 1538576350 | Community Care Network, Inc | Internal Medicine | 3800 Saint Mary Rd, Suite 103, Valparaiso, IN 46383-3986 | 2014-07-14 |
| 1245667773 | Community Care Network, Inc | Urology | 3800 Saint Mary Rd, Suite 205, Valparaiso, IN 46383-3986 | 2013-09-30 |
| 1053747584 | Community Care Network, Inc | Podiatrist | 3800 Saint Mary Rd, Suite 204, Valparaiso, IN 46383-3986 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326057019 | Bruce Moberley | Emergency Medicine | 475 Scarborough Rd, Valparaiso, IN 46385-8013 | 2006-08-05 |
| 1831114891 | Joseph R Mejia | Emergency Medicine | 1051 Southport Circle, Suite A, Valparaiso, IN 46385 | 2006-07-12 |
| 1902836984 | Maria Louise Stamp | Emergency Medicine | 336 W Us Highway 30, Stea, Valparaiso, IN 46385-5345 | 2006-07-04 |
| 1184678765 | Robert L Brunk II | Emergency Medicine | 802 Laporte Ave, Suite 102, Valparaiso, IN 46383-5860 | 2006-05-19 |
| 1851370050 | Danny Patrick Kaup | Emergency Medicine | 1051 Southpoint Cir Ste A, Valparaiso, IN 46385-6256 | 2006-01-16 |
| 1528419058 | Tanya Shevavesh | Emergency Medicine | 85 East Us-6 Frontage Road, Valparaiso, IN 46383 | 2016-06-27 |
| 1184860512 | Indiana Physician Services LLC | Emergency Medicine | 85 E Us Highway 6, Valparaiso, IN 46383-8947 | 2009-01-07 |
| 1497911697 | Jane Bradlaw | Emergency Medicine | 2000 Roosevelt Rd, Department of Emergency Medicine, Valparaiso, IN 46383-2800 | 2008-08-06 |
| 1043475445 | David Cummins | Emergency Medicine | 85 E Us Highway 6, Valparaiso, IN 46383-8947 | 2008-07-24 |
| 1225130867 | Michael A Woods | Emergency Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-09-03 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on COMMUNITY CARE NETWORK, INC.
| 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.