FUNCTIONAL MEDICINE OF CARMEL INC. (NPI# 1871974337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871974337 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL MEDICINE OF CARMEL INC. |
| Other Organization Name | BODYLOGICMD OF CARMEL |
| Practice Address |
755 W Carmel Dr Suite 212 Carmel IN 46032-5877 |
| Practice Telephone | 7653183265 |
| Mailing Telephone | 7653183265 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | DR. LYNNOVA REYNOLDS (PRESIDENT) |
| Authorized Official Telephone | 7653183265 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
02001906A | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BodylogicMD of Carmel | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FUNCTIONAL MEDICINE OF CARMEL INC. | 755 W. Carmel Drive #212, Carmel, IN 46032 |
| Street Address |
755 W CARMEL DR SUITE 212 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784635 | Jakz Medical Equipment, Service & Supply | Durable Medical Equipment & Medical Supplies | 755 W Carmel Dr, Suite 112, Carmel, IN 46032-5877 | 2005-07-20 |
| 1952769044 | Forefront Dermatology, S.c. | Dermatology | 755 W Carmel Dr, Suite 101, Carmel, IN 46032 | 2016-02-03 |
| 1992182562 | Kenney Orthopedics of Carmel, LLC | Prosthetic/Orthotic Supplier | 755 W Carmel Dr, Suite 105, Carmel, IN 46032-5877 | 2015-05-02 |
| 1578835013 | Carmel Neuropsychology Services, P.C. | Clinical Neuropsychologist | 755 W Carmel Dr, Suite 205, Carmel, IN 46032-5877 | 2012-01-30 |
| 1649553926 | Betty Jo Funderburgh | Social Worker | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2011-09-23 |
| 1508161571 | Grace Layton | Marriage & Family Therapist | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2011-01-21 |
| 1760700918 | Abigail F Donnelly | Dermatology | 755 W Carmel Dr, Suite 101, Carmel, IN 46032-5877 | 2010-05-12 |
| 1194057075 | April Marie Sauders | Social Worker | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2010-02-03 |
| 1932430766 | Christine Erin Ermel | Chiropractor | 755 W Carmel Dr, Suite 211, Carmel, IN 46032-5877 | 2010-01-18 |
| 1871822460 | Rebecca Ann Metzger | Social Worker | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2009-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1427094911 | Victoria L Potoczak | Obstetrics & Gynecology | 3618 S 4th St, Terre Haute, IN 47802-5543 | 2006-06-22 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1639566490 | Olivia Higgins | Obstetrics & Gynecology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2015-04-20 |
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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.