KEN OBENSON (NPI# 1962798934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962798934 |
| Entity Type | Individual |
| Full Name | KEN OBENSON |
| Credential | MD |
| Practice Address |
521 W Mccarty St Indianapolis IN 46225-1239 |
| Practice Telephone | 3173274744 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
01069391A | IN | Allopathic & Osteopathic Physicians |
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
01069391A | IN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01069391A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
521 W MCCARTY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46225-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356703508 | Joye Maureen Carter | Pathology | 521 W Mccarty St, Suite 238, Indianapolis, IN 46225-1239 | 2016-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126616 | Jerry R Svendsen | Physical Therapist | 426 S Alabama St Ste 200, Indianapolis, IN 46225 | 2006-06-01 |
| 1053971564 | Daniel Huckstep | Physical Therapist | 426 S Alabama St Ste 200, Indianapolis, IN 46225 | 2019-06-17 |
| 1497195697 | William Anthony Davis II | Family Medicine | 426 S Alabama St, Indianapolis, IN 46225 | 2013-07-02 |
| 1750623583 | Catherine Marie Reese | Family Medicine | 426 S Alabama St Ste 100, Indianapolis, IN 46225 | 2013-03-19 |
| 1902968381 | Carolyn Kay Adams | Nurse Practitioner | 200 S Meridian, Ste 400, Indianapolis, IN 46225 | 2006-12-14 |
| 1295897486 | Jacqueline Sue Pierson | Nurse Practitioner | 200 S Meridian, Ste 400, Indianapolis, IN 46225 | 2006-12-14 |
| 1275536096 | Med-equip, LLC | Durable Medical Equipment & Medical Supplies | 238 S Meridian St, Ste 205, Indianapolis, IN 46225-1024 | 2005-05-24 |
| 1235190455 | Jason L. Palmer | Specialist/Technologist | 501 W Maryland St, Indianapolis, IN 46225-1041 | 2006-03-29 |
| 1265467740 | Nordstrom Inc | Prosthetic/Orthotic Supplier | 130 S Meridian St, Indianapolis, IN 46225-1046 | 2006-07-12 |
| 1972591295 | Marilyn A Loe | Nurse Practitioner | 200 S Meridian St, Indianapolis, IN 46225-1055 | 2005-10-11 |
| Find all providers in zip 46225 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558125 | Nichole Landry Lepage | Pathology | 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 | 2017-06-21 |
| 1871904532 | Michael J Hwang | Pathology | 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 | 2014-05-15 |
| 1720405814 | Jared Cobb | Pathology | 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 | 2014-03-26 |
| 1629337522 | Christin Hweisi Tsao | Pathology | 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 | 2012-05-11 |
| 1275779027 | Rick Bains | Pathology | 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 | 2008-12-29 |
| 1164677423 | Phoenix Clinical Labs Inc | Pathology | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2008-11-28 |
| 1457502841 | Swarna S Sikdar | Pathology | 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 | 2008-10-04 |
| 1598963696 | Xiaolin Wu | Pathology | Iu Health Pathology Laboratory, 350 N. 11th Street, Hematopathology, Indianapolis, IN 46202 | 2007-07-10 |
| 1386781201 | Mary Louise Forster | Pathology | 9550 Zionsville Rd Ste 200, Indianapolis, IN 46268-1063 | 2007-01-31 |
| 1861419525 | Rebecca A Arora | Pathology | 10291 N Meridian St, Ste 100, Indianapolis, IN 46290-1000 | 2006-07-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46225 |
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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.