DR. JAN JANSEN (NPI# 1720192693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720192693 |
| Entity Type | Individual |
| Full Name | DR. JAN JANSEN |
| Credential | M.D., PH.D. |
| Practice Address |
1600 Albany St 6 Tower Beech Grove IN 46107-1541 |
| Mailing Address |
1500 Albany St Suite 911 Beech Grove IN 46107-1555 |
| Practice Telephone | 3178655500 |
| Practice Fax Number | 3177826316 |
| Mailing Telephone | 3178655500 |
| Mailing Fax Number | 3177826316 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01000005 | IN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935672 | Jan Olaf Jansen | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2017-11-07 |
| Street Address |
1600 ALBANY ST 6 TOWER |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 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.