DR. RICHARD L BARDIN (NPI# 1699703058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699703058 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L BARDIN |
| Credential | MD |
| Practice Address |
2002 S 11th St Niles MI 49120-4074 |
| Practice Telephone | 2696870200 |
| Practice Fax Number | 2696840199 |
| Mailing Telephone | 2696870200 |
| Mailing Fax Number | 2696840199 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301085001 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4718487 | 05 | |
| RAILROAD MEDICARE | P00233286 | 01 | |
| MI | BLUE CROSS | 1101110651 | 01 |
| MI | PHP | 04-30549 | 01 |
| MI | DEA | BB9140194 | 01 |
| CIGNA | 2829484 | 01 |
| Street Address |
2002 S 11TH ST |
| City | NILES |
| State | MI |
| Zip Code | 49120-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265478192 | Daniel M Metzger | Specialist | 2002 S 11th St, Niles, MI 49120-4074 | 2006-06-20 |
| 1922621556 | Angela Coleman | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2020-05-18 |
| 1861988180 | Carrie Lozmack | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2018-07-10 |
| 1275988867 | Joan Madsen | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-05-02 |
| 1174984413 | Amanda Leigh Mills | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2016-03-15 |
| 1538592753 | Lakeland Community Hospital Watervliet | Clinic/Center | 2002 S 11th St, Niles, MI 49120-4074 | 2013-08-12 |
| 1164764155 | Jennifer Ann Layman-young | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2013-03-18 |
| 1083960652 | Lauren-shylene Luna Toscano | Nurse Practitioner | 2002 S 11th St, Niles, MI 49120-4074 | 2012-08-01 |
| 1124394945 | Elizabeth Ann Mcglothlin | Family Medicine | 2002 S 11th St, Niles, MI 49120-4074 | 2012-03-26 |
| 1548588031 | Lakeland Medical Practices | Clinic/Center | 2002 S 11th St, Niles, MI 49120-4074 | 2010-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612958 | Anderson Medical Centers, LLC | Internal Medicine | 8975 W Golf Rd, Niles, IL 60714-5821 | 2007-07-27 |
| 1134331655 | John Oh M.d.s.c. | Internal Medicine | 241 Golf Mill Ctr Ste 416, Niles, IL 60714-1215 | 2007-05-04 |
| 1538381355 | Prasanna Saraswathi Nair | Internal Medicine | 6450 W. Touhy Ave., Niles, IL 60714 | 2007-05-02 |
| 1245321900 | Fatima M Mohiuddin | Internal Medicine | 9120 W Golf Rd, Niles, IL 60714-5806 | 2006-09-27 |
| 1306880455 | Indira Devi Nair | Internal Medicine | 8565 W Dempster St, Niles, IL 60714-1472 | 2006-06-16 |
| 1245201326 | Maria Victoria Victoria Vela | Internal Medicine | 8565 W. Dempster St., Niles, IL 60714 | 2006-01-27 |
| 1598745937 | Manuel Ting | Internal Medicine | 624 Vienna Ave, Niles, OH 44446-2640 | 2006-01-20 |
| 1467449371 | Yogesh O Sheth | Internal Medicine | 940 Robbins Ave, Niles, OH 44446-2468 | 2005-10-05 |
| 1013910710 | James S Poulos | Internal Medicine | 7157 W Howard St, Niles, IL 60714-3757 | 2005-05-27 |
| 1235132952 | Thomas F Kannin | Internal Medicine | 6954 W Touhy Ave Ste 101, Niles, IL 60714-4535 | 2005-05-27 |
| Find all providers in NILES | ||||
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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.