DR. KELLY RENEE RYCHTER (NPI# 1841477551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841477551 |
| Entity Type | Individual |
| Full Name | DR. KELLY RENEE RYCHTER |
| Credential | D.O. |
| Practice Address |
1205 S Main St Ste 101 Crown Point IN 46307-3677 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2196620077 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.118144 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02005931A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036.118144 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036118144 | 05 | |
| IL | BCBS | 1124399605 | 01 |
| IL | GROUP NPI | 1124399605 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 W 203rd St Ste 204, Olympia Fields, IL 604611185 | 7086792670 | 7085033260 |
| Street Address |
1205 S MAIN ST STE 101 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500999 | Gary R. Brigham | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2005-07-05 |
| 1942825930 | Meghan Tuominen | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2020-06-15 |
| 1689190100 | Kaitlin Kendys | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2017-08-16 |
| 1679019863 | Joshua Puig | Physician Assistant | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2017-01-11 |
| 1841649480 | Catherine Rose Lara | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2016-06-04 |
| 1861507253 | Daniel Richard Meldrum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-08-19 |
| 1487619805 | Tariq Hameed | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1497859516 | Rakesh Kansal | Internal Medicine | 297 W Franciscan Ln., Suite 202, Crown Point, IN 46307 | 2006-09-11 |
| 1942282215 | Faheem Ahmad | Internal Medicine | 1205 S Main St Ste 201, Crown Point, IN 46307-3677 | 2005-11-14 |
| 1972500999 | Gary R. Brigham | Internal Medicine | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2005-07-05 |
| 1902985443 | Cardiac Care Associates, Inc. | Internal Medicine | 1205 S Main St, Suite 101, Crown Point, IN 46307-3677 | 2006-11-03 |
| 1235248857 | John William Klemme | Internal Medicine | 9330 Broadway, Crown Point, IN 46307-8602 | 2006-08-29 |
| 1174505218 | Cherdkiat Sangkam | Internal Medicine | 1205 S Main St Ste 201, Crown Point, IN 46307-3677 | 2005-11-15 |
| 1073510087 | Boris Sagalovsky | Internal Medicine | 1205 S Main St, Suite 101, Crown Point, IN 46307-3677 | 2005-07-05 |
| 1770580789 | Vidyadhar R. Gandra | Internal Medicine | 1205 S Main St, Suite 101, Crown Point, IN 46307-3677 | 2005-07-05 |
| 1487651493 | Trent G. Orfanos | Internal Medicine | 1201 S Main St, Crown Point, IN 46307-8481 | 2005-07-05 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on DR. KELLY RENEE RYCHTER.
| 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.