U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC (NPI# 1912458662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912458662 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC |
| Practice Address |
700 E Beardsley Ave Suite100 Elkhart IN 46514-3366 |
| Mailing Address |
25124 Springfield Ct Suite 200 Valencia CA 91355-1085 |
| Practice Telephone | 5742068010 |
| Practice Fax Number | 5742669438 |
| Mailing Telephone | 6616782600 |
| Mailing Fax Number | 6616782700 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MR. JOSEPH T MALLAS (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6616782600 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S HEALTHWORKS MEDICAL GROUP OF INDIANA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731496 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3417 W Fox Ridge Ln, Muncie, IN 47304-5204 | 2016-10-18 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1174037535 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 19567 Cleveland Rd, South Bend, IN 46637-3201 | 2017-11-21 |
| 1902357650 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3400 W Community Dr, Muncie, IN 47304-5459 | 2016-10-18 |
| 1891246559 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-18 |
| 1154872810 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 5603 W Raymond St, Suite A-d, Indianapolis, IN 46241-4364 | 2016-10-18 |
| 1083163034 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 4850 Century Plaza Rd, Suite 100, Indianapolis, IN 46254-5476 | 2016-09-30 |
| 1497204531 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 11580 Overlook Dr, Suite 100, Fishers, IN 46037-4219 | 2016-09-30 |
| 1881143907 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 7301 Georgetown Rd, Suite 109 - 111, Indianapolis, IN 46268-5124 | 2016-09-30 |
| 1699224642 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 1311 N Shadeland Ave, Indianapolis, IN 46219-3660 | 2016-09-30 |
| Street Address |
700 E BEARDSLEY AVE SUITE100 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568559599 | Allen Blackman | Physician Assistant | 700 E Beardsley Ave, Elkhart, IN 46514-3366 | 2006-10-10 |
| 1942626635 | Kaitlin Putt | Speech-Language Pathologist | 700 E Beardsley Ave, Elkhart, IN 46514-3366 | 2014-03-05 |
| 1669740122 | Debra Diane Bender | Physical Therapy Assistant | 700 E Beardsley Ave, Suite 100, Elkhart, IN 46514-3366 | 2011-12-12 |
| 1003004524 | Christine Marie Cisneros | Neuromusculoskeletal Medicine & OMM | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2007-10-10 |
| 1154445831 | Joseph E Fernando | Preventive Medicine | 700 E Beardsley Ave, Suite 100, Elkhart, IN 46514-3366 | 2007-03-19 |
| 1306911060 | Jill Huffman | Physical Therapy Assistant | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2006-11-21 |
| 1043307937 | Kelli Becker | Physical Therapy Assistant | 700 E Beardsley Ave, Ste 100, Elkhart, IN 46514-3366 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921294 | Midwest Express Care 4, LLC | Clinic/Center | 6131 Us Highway 6 Ste C, Portage, IN 46368-5058 | 2020-10-28 |
| 1093349540 | Heart of Families LLC | Clinic/Center | 10435 Woodfield Pl, Fort Wayne, IN 46835-9750 | 2020-02-24 |
| 1619536067 | Midwest Express Care 4 LLC | Clinic/Center | 5043 E 81st Ave, Merrillville, IN 46410-5912 | 2019-06-10 |
| 1053807990 | American Currenct Care P.a. | Clinic/Center | 4125 W Clara Ln, Muncie, IN 47304-5466 | 2018-07-03 |
| 1942796883 | American Currenct Care P.a. | Clinic/Center | 11580 Overlook Dr Ste 100, Fishers, IN 46037-4221 | 2018-07-03 |
| 1396231239 | American Currenct Care P.a. | Clinic/Center | 5603 W Raymond St Ste A-d, Indianapolis, IN 46241-4364 | 2018-07-03 |
| 1023504966 | American Currenct Care P.a. | Clinic/Center | 1311 N Shadeland Ave Ste E-j, Indianapolis, IN 46219-3660 | 2018-07-03 |
| 1922594860 | American Currenct Care P.a. | Clinic/Center | 4850 Century Plaza Rd Ste 100, Indianapolis, IN 46254-5477 | 2018-07-03 |
| 1780170621 | American Currenct Care P.a. | Clinic/Center | 7301 Georgetown Rd Ste 109-111, Indianapolis, IN 46268-5124 | 2018-07-03 |
| 1649770769 | Fast Pace Medical Clinic Pllc | Clinic/Center | 4152 W State Road, Hanover, IN 47243 | 2018-02-15 |
| Find all providers with the same taxonomy | ||||
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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.