THOMAS MICHAEL ANGER (NPI# 1912908781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912908781 |
| Entity Type | Individual |
| Full Name | THOMAS MICHAEL ANGER |
| Credential | MD |
| Practice Address |
9660 Wicker Avenue 2nd Floor St John IN 46373-9487 |
| Practice Telephone | 2192262380 |
| Practice Fax Number | 2192262380 |
| Mailing Telephone | 2192262380 |
| Mailing Fax Number | 2192262381 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2010-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01029884 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100167310B | 05 | |
| IN | ANTHEM BCBS | 000000081318 | 01 |
| Street Address |
9660 WICKER AVENUE 2ND FLOOR |
| City | ST JOHN |
| State | IN |
| Zip Code | 46373-9487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296530 | Katrina L. Lee | Obstetrics & Gynecology | 9660 Wicker Avenue, St John, IN 46373-9487 | 2005-06-27 |
| 1629166855 | Kieran L Penning | Nurse Practitioner | 9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 | 2006-10-11 |
| 1558458554 | Bina K Parekh | Family Medicine | 9660 Wicker Avenue, St John, IN 46373-9487 | 2006-10-10 |
| 1104811637 | Snezana Barancyk | Nurse Practitioner | 9660 Wicker Avenue, St John, IN 46373-9487 | 2005-09-12 |
| 1649271412 | Robert A Dershewitz | Pediatrics | 9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1144235557 | Omiyosoye Ololade | Pediatrics | 11355 W 97th Lane, Hammond Clinic LLC, St John, IN 46373-9601 | 2006-07-31 |
| 1649271412 | Robert A Dershewitz | Pediatrics | 9660 Wicker Avenue, 2nd Floor, St John, IN 46373-9487 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404165 | Long Term Care and Rehab Consultants LLC | Pediatrics | 4919 Charlestown Rd, New Albany, IN 47150-9426 | 2020-07-22 |
| 1295358265 | Culver Pediatrics Center, Inc | Pediatrics | 16427 18th Rd, Culver, IN 46511-9754 | 2020-05-25 |
| 1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1518316264 | Christine Marie Timmer Firlit | Pediatrics | 1946 45th St Ste C, Munster, IN 46321-3986 | 2016-06-03 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
| 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.