MARIA ELISABETH FAASE (NPI# 1851486930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851486930 |
| Entity Type | Individual |
| Full Name | MARIA ELISABETH FAASE |
| Credential | M.D. |
| Practice Address |
5215 Holy Cross Pkwy Mishawaka IN 46545-1469 |
| Mailing Address |
707 E Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743354145 |
| Practice Fax Number | 5743354146 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01072165 | IN | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
038145 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS NICU | 000000925186 | 01 |
| GA | 00685913H | 05 | |
| GA | GA LICENSE NUMBER | 038145 | 01 |
| GA | DEA NUMBER | BF7010313 | 01 |
| IN | BCBS | 000000859438 | 01 |
| IN | 201222680 | 05 |
| Street Address |
5215 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422002 | Jonathan Neil Shenk | Emergency Medicine | 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | 2005-07-21 |
| 1962022145 | Caramia Hummer | Respiratory Therapist, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2020-04-17 |
| 1174174635 | Laura Droege | Registered Nurse | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2019-09-26 |
| 1558916668 | Jordan Thomas Alberda | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2019-08-06 |
| 1881161214 | Alexi Bellchambers | Physician Assistant | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-10-24 |
| 1033697529 | Hospitalist Medicine Physicians of Indiana-tcg, LLC | Internal Medicine | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-08-06 |
| 1154818011 | Mary Irvin | Specialist/Technologist | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-04-17 |
| 1093219008 | Mayelin Lora-williams | Dietitian, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-03-23 |
| 1013446566 | Gevorg Martirosyan | Student in an Organized Health Care Education/Training Program | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-06-08 |
| 1699207530 | Julie Sauer | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811151848 | Julie E West | Pediatrics | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2008-07-18 |
| 1942373428 | Laura Decastor | Pediatrics | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2006-11-15 |
| 1326062746 | Franklin Moncrief Dobson | Pediatrics | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2006-07-27 |
| 1427035989 | Ismail Abbasi | Pediatrics | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053572578 | Carol Lynn Berseth | Pediatrics | 401 Park Plaza Dr, Evansville, IN 47715-3632 | 2008-06-18 |
| 1992831861 | Rex G Bickers | Pediatrics | 3511 Lafayette Pkwy, Floyds Knobs, IN 47119-9760 | 2007-02-26 |
| 1275679433 | Cheryl Annette Eads | Pediatrics | 887 N Gardner St Ste A, Scottsburg, IN 47170-1457 | 2007-01-29 |
| 1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
| 1659391506 | Gregory Robert Warda | Pediatrics | 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 | 2006-07-20 |
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1619965803 | Mary Jo Stine | Pediatrics | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2005-10-11 |
| 1538688163 | Coutinho PC | Pediatrics | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2017-09-14 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1366897605 | Nicholas Theodore Severyn | Pediatrics | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 | 2016-04-24 |
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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.