NORTH CENTRAL INDIANA MEDICAL CLINIC LLC (NPI# 1730713017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730713017 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL INDIANA MEDICAL CLINIC LLC |
Practice Address |
112 S Main St Milford IN 46542-3006 |
Mailing Address |
Po Box 247 Milford IN 46542-0247 |
Practice Telephone | 5748326246 |
Mailing Telephone | 5748326246 |
Mailing Fax Number | 5748322011 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-08-06 |
Authorized Official Name | MICHELLE WILSON (PRACTICE MANAGER) |
Authorized Official Telephone | 5748326246 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | OB/GYN | 1902-89-0718 | 01 |
Street Address |
112 S MAIN ST |
City | MILFORD |
State | IN |
Zip Code | 46542-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063022754 | Sarah Webber | Nurse Practitioner | 112 S Main St, Milford, IN 46542-3006 | 2020-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992871446 | Heather J Lechlitner | Pharmacist | 308 S Main, Milford, IN 46542 | 2006-11-27 |
1366458622 | Andrew P Anglemeyer | Family Medicine | 112 S Main Street, Milford, IN 46542 | 2006-07-31 |
1902890718 | Gayle J Borkowski | Obstetrics & Gynecology | 112 S. Main Street, Milford, IN 46542 | 2005-09-07 |
1477552040 | S Douglas Strycker | Family Medicine | 201 S Main Street, Milford, IN 46542-0128 | 2005-07-18 |
1649205618 | Milford Family Physicians, LLP | Family Medicine | 201 S Main Street, Milford, IN 46542-0128 | 2006-07-11 |
1316946999 | John M Dick | Family Medicine | 201 S Main St, Milford, IN 46542-0128 | 2005-07-18 |
1891015400 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 112 South Main Street, Milford, IN 46542-0575 | 2010-06-04 |
1861054678 | Heather Ann Whitehead | Nurse Practitioner | 201 S Main St, Milford, IN 46542-3004 | 2019-07-01 |
1770695959 | Warsaw Health System, LLC | Family Medicine | 301 N Higbee St, Milford, IN 46542-9146 | 2006-08-31 |
1265675367 | Janel Marie Zehring | Physical Therapy Assistant | 505 W Fourth St, Milford, IN 46542-9310 | 2009-04-20 |
Find all providers in zip 46542 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720052822 | Xiaojing Tao | Obstetrics & Gynecology | 100 Medway Rd, Suite 401, Milford, MA 01757-2923 | 2006-02-15 |
1295709392 | Melissa J Clough | Obstetrics & Gynecology | 100 Medway Rd, Ste 401, Milford, MA 01757 | 2006-02-15 |
1275520546 | Paul C Staffier | Obstetrics & Gynecology | 6 Central St, Milford, MA 01757-3320 | 2005-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225649486 | Precise Telehealth Inc | Obstetrics & Gynecology | 1001 Calumet Avenue, Dyer, IN 46311-1596 | 2020-08-12 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
1578894697 | Joseph Robert Gasparovic | Obstetrics & Gynecology | 219 Carnoustie Ct, Schererville, IN 46375-2919 | 2010-01-29 |
1396936365 | Diana M Okon, M.d. PC | Obstetrics & Gynecology | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2007-08-06 |
1841417110 | Jennifer Joy Hamner | Obstetrics & Gynecology | 234 E 9th St Apt 106, Indianapolis, IN 46204-1163 | 2007-04-19 |
1619006772 | Marvin Eugene Eastlund | Obstetrics & Gynecology | 5204 Tatum Ct, Fort Wayne, IN 46835-4633 | 2007-03-05 |
1477693307 | Paul Eugene Jarrett Jr. | Obstetrics & Gynecology | 9906 E 200 S, Zionsville, IN 46077-9702 | 2007-02-08 |
1225182272 | Connersville Obgyn Inc | Obstetrics & Gynecology | 1619 N Grand Ave, Connersville, IN 47331-2230 | 2007-01-23 |
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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.