DR. NAZAR GOLEWALE (NPI# 1851548127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851548127 |
| Entity Type | Individual |
| Full Name | DR. NAZAR GOLEWALE |
| Credential | MD |
| Practice Address |
620 W Edison Rd Ste 110 Mishawaka IN 46545-2784 |
| Practice Telephone | 5742581100 |
| Practice Fax Number | 5742581101 |
| Mailing Telephone | 5742581100 |
| Mailing Fax Number | 5742581101 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01069831A | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
01069831A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201024390 | 05 |
| Street Address |
620 W EDISON RD STE 110 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557815 | Radiology, Inc | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2005-09-01 |
| 1437502721 | Leslie M Peters | Nurse Practitioner | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2016-07-21 |
| 1740520717 | Sarah Suzanne Bortone | Nurse Practitioner | 620 W Edison Rd, Suite 118, Mishawaka, IN 46545-2784 | 2013-02-27 |
| 1720326614 | Dawn Elizabeth Lanser | Registered Nurse | 620 W Edison Rd, Suite 140, Mishawaka, IN 46545-2784 | 2013-01-28 |
| 1740506229 | Sridevi Kanuri | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2010-04-09 |
| 1013163526 | Benjamin Jon Moreno | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2008-08-15 |
| 1326204850 | Thomas K Rhee | Internal Medicine | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2008-08-04 |
| 1669637153 | Thomas Gast | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2008-07-23 |
| 1992967293 | Stephen Joowhan Kim | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2008-06-27 |
| 1346401395 | Justin Jeremiah Lightburn | Radiology | 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | 2008-06-23 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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| 1053922849 | Ultrasonic Medical Specialists LLC | Radiology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-08-13 |
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| 1154856789 | Xrc Clinical Radiology, LLC | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2017-04-20 |
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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.