COMMUNITY CARE NETWORK, INC (NPI# 1831501212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831501212 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE NETWORK, INC |
| Practice Address |
3432 169th St Hammond IN 46323-2542 |
| Mailing Address |
1500 S Lake Park Ave Managed Care Department Hobart IN 46342-6638 |
| Practice Telephone | 2198449060 |
| Practice Fax Number | 2198446912 |
| Mailing Telephone | 2199476113 |
| Mailing Fax Number | 2199476503 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | RICHARD BUCHLER (DIRECTOR) |
| Authorized Official Telephone | 2199476113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568776060 | Community Care Network, Inc | Urology | 3545 Arbors St, Portage, IN 46368-4297 | 2010-07-27 |
| 1790156214 | Community Care Network, Inc | Podiatrist | 6375 Us Highway 6, Suite D, Portage, IN 46368-5217 | 2015-10-09 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1538576350 | Community Care Network, Inc | Internal Medicine | 3800 Saint Mary Rd, Suite 103, Valparaiso, IN 46383-3986 | 2014-07-14 |
| 1629480686 | Community Care Network, Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2014-05-27 |
| 1689086001 | Community Care Network, Inc | Family Medicine | 3800 Saint Mary Rd, Suite 102, Valparaiso, IN 46383-3986 | 2014-05-21 |
| 1912319393 | Community Care Network, Inc | Family Medicine | 7651 Harvest Dr, Schererville, IN 46375-3476 | 2014-05-20 |
| 1245667773 | Community Care Network, Inc | Urology | 3800 Saint Mary Rd, Suite 205, Valparaiso, IN 46383-3986 | 2013-09-30 |
| 1528495058 | Community Care Network, Inc | Urology | 10607 Randolph St, Suite C, Crown Point, IN 46307-7504 | 2013-09-30 |
| 1689000705 | Community Care Network, Inc | Orthopaedic Surgery | 4320 Fir St, Suite 201, East Chicago, IN 46312-3052 | 2013-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Connecticut Business Registrations | COMMUNITY CARE NETWORK, INC. | Po Box 750, Nashville, TN 37202-0750 |
| Washington State Corporations | COMMUNITY CARE NETWORK, INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| Oklahoma Business Registrations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct, San Diego, CA 92123 |
| Indiana Business Entities | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Street Address |
3432 169TH ST |
| City | HAMMOND |
| State | IN |
| Zip Code | 46323-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963330 | 219 Health Network Inc | Clinic/Center | 3432 169th St, Hammond, IN 46323-2542 | 2019-07-16 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1083061568 | Thomas Wilkins | Family Medicine | 3432 169th St, Hammond, IN 46323 | 2016-05-16 |
| 1033564422 | Gagandeep Kaur | Family Medicine | 3432 169th St, Hammond, IN 46323-2542 | 2016-05-04 |
| 1396122784 | Maria Marrero | Registered Nurse | 3432 169th St, Hammond, IN 46323-2542 | 2015-05-05 |
| 1770960544 | Wayne Larson | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1790863256 | Pacific Healthcare, Inc. | Clinic/Center | 6829-1/2 S. Grand Avenue, Hammond, IN 46323 | 2006-11-01 |
| 1891070678 | Andrea Clarice Nygaard | Pharmacist | 6905 Kennedy Ave, Hammond, IN 46323 | 2011-10-12 |
| 1053584938 | Waneta Deshon Willis-cooper | Developmental Therapist | 6116 Marshall Ave, Hammond, IN 46323-1054 | 2008-04-10 |
| 1255948204 | Independence Plus-in, LLC | Home Health | 2901 Carlson Dr Ste 361, Hammond, IN 46323-1100 | 2020-09-24 |
| 1174146799 | Inspire Nursing Services | Home Health | 2901 Carlson Dr Ste 371, Hammond, IN 46323-1100 | 2020-05-19 |
| 1134241805 | Gina Marie Maldonado | Developmental Therapist | 3232 165th St, Hammond, IN 46323-1213 | 2007-04-04 |
| 1871659599 | Joseph Robert Kolanko | Chiropractor | 3224 165th St, Hammond, IN 46323-1218 | 2006-12-28 |
| 1114211844 | Swts | Non-emergency Medical Transport (VAN) | 6411 Grand Ave, Hammond, IN 46323-1230 | 2011-05-27 |
| 1740840230 | Shekila Nicole Phillips | Nurse's Aide | 3512 163rd St, Hammond, IN 46323-1263 | 2019-06-17 |
| Find all providers in zip 46323 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427277888 | Spencer Paul Tucker | Emergency Medicine | 12163 E Adams Rd, Hammond, LA 70403-2103 | 2007-04-24 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1982600656 | Scott Henry David | Emergency Medicine | 42078 Veterans Ave Ste G, Hammond, LA 70403-1490 | 2005-06-27 |
| 1598110876 | Jonathon Zinkel | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| 1912386863 | Lucas Ainsworth | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403 | 2015-05-26 |
| 1114304466 | Cortney Sloan Palencia | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2015-05-06 |
| 1649665233 | Dustin Lee Cotliar | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2015-04-01 |
| 1467845313 | Megan Marie Dodge | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2015-03-16 |
| 1295144491 | Patrick Sheehan | Emergency Medicine | 15790 Paul Vega Dr, Hammond, LA 70403 | 2014-08-13 |
| 1770993891 | Timothy Hattier | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2014-04-28 |
| Find all providers in HAMMOND | ||||
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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.