DALE DELLACQUA (NPI# 1790837938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837938 |
| Entity Type | Individual |
| Full Name | DALE DELLACQUA |
| Credential | M.D. |
| Practice Address |
639 S Walker St Suite E Bloomington IN 47403-2123 |
| Practice Telephone | 8123334000 |
| Practice Fax Number | 8123330611 |
| Mailing Telephone | 8123334000 |
| Mailing Fax Number | 8123330611 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
01050231A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
639 S WALKER ST SUITE E |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
| 1801948211 | Sterling E Doster | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-17 |
| 1811049380 | Erich J Weidenbener | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403 | 2007-01-17 |
| 1740331263 | Gregory M Fox | Orthopaedic Surgery | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1326182551 | Mark Christopher Wilczynski | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2007-02-19 |
| 1902883192 | Deborah C Bohn | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003000399 | Reconstructive Hand To Shoulder of Indiana, LLC | Orthopaedic Surgery | 13431 Old Meridian Street, Suite 225, Carmel, IN 46032 | 2007-08-30 |
| 1689873291 | Christian Hand Center, Inc | Orthopaedic Surgery | 1800 S. 3rd St., Terre Haute, IN 47802 | 2007-07-13 |
| 1598700783 | Michael E Pannunzio | Orthopaedic Surgery | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-7101 | 2006-06-19 |
| 1295708659 | Richard L Makowiec | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2006-02-08 |
| 1497758429 | Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| 1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1679903009 | Trihealth Physicians of Indiana, Inc. | Orthopaedic Surgery | 600 Wilson Creek Rd, Suite 310, Lawrenceburg, IN 47025-2751 | 2013-11-21 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1881909935 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.