MICHELLE LYNN PEARSON (NPI# 1841234739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841234739 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN PEARSON |
| Credential | M.D. |
| Practice Address |
1122 S Ironwood Dr South Bend IN 46615-1618 |
| Mailing Address |
707 E Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743358399 |
| Practice Fax Number | 5743350786 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01057963 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS RIVER PARK | 000000712059 | 01 |
| IN | BCBS | 000000803535 | 01 |
| IN | 200448620A | 05 | |
| IN | BCBS | 000000616903 | 01 |
| IN | BLUE CROSS | 000000383677 | 01 |
| IN | BCBS | 000000580319 | 01 |
| IN | BCBS | 000000896332 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087946 | Michelle Pearson | Dietitian, Registered | 12 Vine Ave Apt 3, Quincy, MA 02169-5617 | 2020-09-13 |
| 1770068173 | Michelle Quigley Pearson | Massage Therapist | 916 Ne 65th St, Seattle, WA 98115-5542 | 2018-10-01 |
| 1346733748 | Michelle Monique Pearson | Counselor | 2120 Washington Blvd Fl 3, Arlington, VA 22204-5718 | 2018-06-11 |
| 1508360504 | Michelle M Pearson | Occupational Therapist | 50 E Hickman Rd, Waukee, IA 50263-5011 | 2018-03-23 |
| 1780182311 | Michelle Pearson | Nurse Practitioner | 700 Knox Abbott Dr, West Columbia, SC 29033-3340 | 2018-01-29 |
| 1497290670 | Michelle Jo Pearson | Nurse Practitioner | 723 1st Ave S, Suite 220, Fort Dodge, IA 50501-4633 | 2016-12-27 |
| 1528443512 | Michelle Pearson | Counselor | 10116 36th Avenue Ct Sw, Lakewood, WA 98499-4791 | 2015-07-20 |
| 1619371135 | Michelle Pearson | Dietitian, Registered | 209 Pauline Dr, Berea, KY 40403-8889 | 2014-10-13 |
| 1740603562 | Michelle Pearson | Pharmacist | 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | 2014-01-30 |
| 1093975856 | Michelle Marie Pearson | Psychologist | 918 E Mead Ave, Yakima, WA 98903-3720 | 2008-06-13 |
| Street Address |
1122 S IRONWOOD DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337762 | Brian Moloney | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615-1618 | 2006-05-25 |
| 1114499654 | Laura Satka Gettler | Registered Nurse | 1122 S Ironwood Dr, South Bend, IN 46615-1618 | 2018-12-21 |
| 1336400167 | Abigail M Battjes | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615-1618 | 2012-06-07 |
| 1063773422 | Nathaniel Robert Stewart | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615 | 2012-06-01 |
| 1750518247 | Jean Miller | Family Medicine | 1122 S Ironwood Dr, South Bend, IN 46615-1618 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285998146 | Thomas Larsen | Family Medicine | 4440 Portage Ave, South Bend, IN 46628-9570 | 2012-06-26 |
| 1316180318 | Paul Angelo Carl Macri | Family Medicine | 2012 Cedar St, South Bend, IN 46617-2542 | 2009-04-07 |
| 1285818591 | Jaroslaw Kuna | Family Medicine | 320 S Saint Joseph St Ste 300, South Bend, IN 46601-2308 | 2007-12-21 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1679620579 | Mark R. Neff | Family Medicine | 804 Lancaster Dr, South Bend, IN 46614-2020 | 2007-01-04 |
| 1437216587 | David Wood Baxter | Family Medicine | 115 E Cripe St, South Bend, IN 46637-3402 | 2007-01-01 |
| 1477635944 | Alan Snell | Family Medicine | 837 East Cedar St., Ste 100, South Bend, IN 46617 | 2006-10-20 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on MICHELLE LYNN PEARSON.
| 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.