DR. CARISSA KLAAS I (NPI# 1740488378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740488378 |
| Entity Type | Individual |
| Full Name | DR. CARISSA KLAAS I |
| Credential | MD |
| Practice Address |
3135 Middle Dr Columbus IN 47203-4472 |
| Practice Telephone | 8123737777 |
| Mailing Telephone | 8123737777 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 01069870A | IN | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
01069870A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1740488378 | 05 |
| Street Address |
3135 MIDDLE DR |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588192157 | Pankratz Medical LLC | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2017-05-26 |
| 1891086989 | Drew Bennett Davis | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427412550 | Rishi Singhal | Ophthalmology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2016-04-05 |
| 1558781922 | Matthew Joon Young Byun | Ophthalmology | 262 Neil Ave Ste 220, Columbus, OH 43215-7310 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637075 | Madison Eye Center LLC | Ophthalmology | 601 Broadway St, Madison, IN 47250-3362 | 2018-01-26 |
| 1093999609 | Retina & Vitreous L L C | Ophthalmology | 53822 Generations Drive, South Bend, IN 46635-1543 | 2007-12-19 |
| 1295730299 | Prince D Samuel | Ophthalmology | 4221 Washington Ave, Evansville, IN 47714-0675 | 2005-06-16 |
| 1902800493 | Ramana S Moorthy | Ophthalmology | 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 | 2005-06-13 |
| 1770585838 | Thomas Anthony Ciulla | Ophthalmology | 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 | 2005-06-02 |
| 1851840599 | Highland Retina Associates, LLC | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | 2016-09-22 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1043579550 | Midwest Eye Consultants, P.C. | Ophthalmology | 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 | 2012-05-04 |
| 1033478540 | Midwest Eye Consultants, P.C. | Ophthalmology | 1601 W Lincoln Rd, Kokomo, IN 46902-3275 | 2012-05-04 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| Find all providers with the same taxonomy | ||||
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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.