LAKE MI MOBILE DOCTORS, P.C. (NPI# 1740457555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740457555 |
| Entity Type | Organization |
| Organization Name | LAKE MI MOBILE DOCTORS, P.C. |
| Other Organization Name | MOBILE DOCTORS OF INDIANAPOLIS |
| Practice Address |
3388 Founders Rd Suite C Indianapolis IN 46268-1443 |
| Mailing Address |
3319 N Elston Ave Suite 200 Chicago IL 60618-5811 |
| Practice Telephone | 3174718701 |
| Practice Fax Number | 3174718702 |
| Mailing Telephone | 7737517200 |
| Mailing Fax Number | 7735834401 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | MR. TYSYN CONTRERAS (DIRECTOR, QUALITY ASSURANCE) |
| Authorized Official Telephone | 7737517200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200946960B | 05 |
| Other Name | Type Code |
|---|---|
| Mobile Doctors of Indianapolis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851612329 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 2345 E. Thomas Rd, Suite # 420, Phoenix, AZ 85016 | 2010-06-18 |
| 1437106465 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-05-27 |
| 1992057566 | Lake Mi Mobile Doctors, P.C. | Family Medicine | 10016 Office Center Ave, Suite 100, Saint Louis, MO 63128-1468 | 2012-10-08 |
| 1992870281 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2006-11-21 |
| 1700950607 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-20 |
| 1205905916 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-07 |
| Street Address |
3388 FOUNDERS RD SUITE C |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46268-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194064675 | Kyle Hamblen | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2013-02-04 |
| 1063758506 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 3388 Founders Rd, Suite A, Indianapolis, IN 46268-1443 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
| 1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
| 1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
| 1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
| 1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
| 1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
| Find all providers in zip 46268 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| 1003817297 | Jodie R Harper | Internal Medicine | 1427 W 86th St, Suite 152, Indianapolis, IN 46260-2103 | 2005-08-10 |
| 1437582384 | Pierce Mobile Medicine, PC | Internal Medicine | 1300 E 86th St, Suite 14 126, Indianapolis, IN 46240-1997 | 2013-08-14 |
| 1417291808 | Lucinda Geis Dunaway | Internal Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2012-11-26 |
| 1336433432 | Ellen Wayman Kaehr | Internal Medicine | 720 Eskenazi Ave, Suite F2-600, Indianapolis, IN 46202-5187 | 2011-06-06 |
| 1932428836 | Kofi K Quist | Internal Medicine | 1633 N Capitol Ave, Ste 322, Indianapolis, IN 46202-1261 | 2010-05-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46268 |
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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.