PIC INDIANA PC (NPI# 1942546890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942546890 |
| Entity Type | Organization |
| Organization Name | PIC INDIANA PC |
| Other Organization Name | PHYSICIANS URGENT CARE |
| Practice Address |
505 W Cleveland Rd Mishawaka IN 46545-1003 |
| Mailing Address |
Po Box 6601 Carol Stream IL 60197-6601 |
| Practice Telephone | 8157132600 |
| Mailing Fax Number | 4124583953 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | DR. JOHN KOEHLER (MD/OWNER) |
| Authorized Official Telephone | 8157132600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201186520 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407193725 | Pic Indiana PC | Clinic/Center | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 2013-01-07 |
| Street Address |
505 W CLEVELAND RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548805633 | Haley Nichole Jackson | Physician Assistant | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 2019-11-12 |
| 1407193725 | Pic Indiana PC | Clinic/Center | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 2013-01-07 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366879009 | Franciscan Physician Network | Clinic/Center | 1515 W Dragoon Trl, Mishawaka, IN 46544-4710 | 2013-09-26 |
| 1407193725 | Pic Indiana PC | Clinic/Center | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 | 2013-01-07 |
| 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 |
| 1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 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 |
| 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.