DR. JON LEE STOCKRAHM (NPI# 1962409466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962409466 |
| Entity Type | Individual |
| Full Name | DR. JON LEE STOCKRAHM |
| Credential | D.O. |
| Practice Address |
2800 Poplar Street Ste 19 A Terre Haute IN 47803-2659 |
| Mailing Address |
1600 E Springhill Dr Terre Haute IN 47802-4363 |
| Practice Telephone | 8122357252 |
| Practice Fax Number | 8122357176 |
| Mailing Telephone | 8122357252 |
| Mailing Fax Number | 8122357176 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02002047 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200227720A | 05 | |
| IN | AETNA | 5902718 | 01 |
| IN | ANTHEM | 000000211750 | 01 |
| IN | RAILROAD MEDICARE | 110232365 | 01 |
| Street Address |
2800 POPLAR STREET STE 19 A |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47803-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404940 | Union Associated Physicians Clinic LLC | Family Medicine | 2133 South State Road 46, Terre Haute, IN 47803 | 2019-08-28 |
| 1811435209 | Jon Sagarsee | Specialist/Technologist | 613 Gardendale Rd., Terre Haute, IN 47803 | 2017-02-06 |
| 1184086662 | Nicholas Andreasen | Specialist/Technologist | 614 S Dobbs Glen St, Terre Haute, IN 47803 | 2016-03-24 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1508272881 | Shirish Sachdeva | Physical Therapist | 5506 E New Margaret Dr, Terre Haute, IN 47803 | 2014-07-07 |
| 1043634041 | Jed Arseneau | Specialist/Technologist | 928 Barton Avenue, Terre Haute, IN 47803 | 2014-02-11 |
| 1689978389 | Affordable Dentures - Terre Haute, P.C. | Dentist | 2801 South Anton Road, Affordable Dentures - Terre Haute, P.C., Terre Haute, IN 47803 | 2011-01-10 |
| 1003003534 | Etheridge Chiropractic Clinic Inc | Chiropractor | 631 S 25th Street, Terre Haute, IN 47803 | 2007-09-28 |
| 1922197599 | David Edward Cox | Dentist | 2510 Hulman St, Terre Haute, IN 47803 | 2006-10-12 |
| Find all providers in zip 47803 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457646135 | Girish Chandra Kunapareddy | Internal Medicine | 1711 N 6th 1/2 St Ste 202, Terre Haute, IN 47804-2766 | 2011-06-10 |
| 1174612931 | Vuppala Venkat Reddy | Internal Medicine | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2006-10-12 |
| 1306958285 | Arvindkumar N Jameria | Internal Medicine | 1606 North 7th Street, Terre Haute, IN 47804-2780 | 2006-08-31 |
| 1811003122 | Douglas Burton Gillespie Jr. | Internal Medicine | 2010 Ohio Blvd, Terre Haute, IN 47803-2122 | 2006-08-21 |
| 1245343144 | Tejaswini Kumar | Internal Medicine | 420 E Hospital Ln, Terre Haute, IN 47802-4251 | 2006-08-16 |
| 1215956198 | Nedu Gopala | Internal Medicine | 3250 N 19th St, Terre Haute, IN 47804-1444 | 2006-07-19 |
| 1487618179 | Michael R Rader | Internal Medicine | 100 Pfizer Dr, Terre Haute, IN 47802-8019 | 2006-04-12 |
| 1629058680 | Ajay D Deshpande | Internal Medicine | 4320 S 7th St, Terre Haute, IN 47802-4301 | 2006-01-18 |
| 1184622078 | Subbareddy Puchalapalli | Internal Medicine | 2250 Wabash Ave, Terre Haute, IN 47807-3317 | 2005-07-13 |
| 1083610174 | Sudha Patel | Internal Medicine | 6288 S Frye St, Terre Haute, IN 47802-8476 | 2005-06-23 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47803 |
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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.