SPINAL & NEUROSURGICAL INSTITUTE P.C. (NPI# 1811177785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811177785 |
| Entity Type | Organization |
| Organization Name | SPINAL & NEUROSURGICAL INSTITUTE P.C. |
| Practice Address |
1600 S Lake Park Ave Ste 1102 Hobart IN 46342-6641 |
| Practice Telephone | 2199426501 |
| Practice Fax Number | 2199420124 |
| Mailing Telephone | 2199426501 |
| Mailing Fax Number | 2199420124 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | WAYEL KAAKAJI (PRESIDENT) |
| Authorized Official Telephone | 2199426501 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 01050352A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200136330A | 05 | |
| IN | BLUE CROSS BLUE SHIELD | 000000374099 | 01 |
| Street Address |
1600 S LAKE PARK AVE STE 1102 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306799 | Mohamed F Zeitoun | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-04-19 |
| 1649570219 | Jennifer Louise Green | Nurse Practitioner | 1600 S Lake Park Ave, Ste 1103, Hobart, IN 46342-6641 | 2010-10-28 |
| 1336457225 | St Mary Medical Center Inc | Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-09-14 |
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1598818270 | Mark A Simaga | Neurological Surgery | 1600 S Lake Park Ave, Suite 1102, Hobart, IN 46342-6641 | 2007-01-18 |
| 1619986379 | Advanced Endocrinology and Diabetes Center | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-08-05 |
| 1972545804 | Barbara L Fuller | Internal Medicine | 1600 S Lake Park Ave, Suite1101, Hobart, IN 46342-6641 | 2006-06-12 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1598818270 | Mark A Simaga | Neurological Surgery | 1600 S Lake Park Ave, Suite 1102, Hobart, IN 46342-6641 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146076 | T.s.shanks, Pllc | Neurological Surgery | 1919 State St Ste 250, New Albany, IN 47150-6805 | 2019-04-04 |
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1326465725 | Hayder Jaffer | Neurological Surgery | 200 E 89th Ave Ste 3a, Merrillville, IN 46410-7319 | 2014-03-24 |
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1659646917 | Shaheryar Faruq Ansari | Neurological Surgery | 8040 Clearvista Pkwy Ste 240, Indianapolis, IN 46256-4673 | 2012-03-19 |
| 1629367354 | Katrina Alise Ducis | Neurological Surgery | 705 Riley Hospital Dr Rm 1134, Indianapolis, IN 46202 | 2011-04-04 |
| 1639490857 | Karl Erach Balsara | Neurological Surgery | 705 Riley Hospital Dr # 1134, Indianapolis, IN 46202 | 2010-06-22 |
| 1265759955 | Chih-ta Lin | Neurological Surgery | 2525 W University Ave Ste 503, Muncie, IN 47303-3409 | 2010-04-21 |
| 1093030322 | Gregory J Loomis | Neurological Surgery | 1024 Dress Ln, Evansville, IN 47725-9596 | 2010-03-30 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
| 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.