JON D. MISCH, D.O.,P.C. (NPI# 1972716082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972716082 |
| Entity Type | Organization |
| Organization Name | JON D. MISCH, D.O.,P.C. |
| Practice Address |
13963 Morse St Cedar Lake IN 46303-9639 |
| Practice Telephone | 2193745555 |
| Practice Fax Number | 2193746669 |
| Mailing Telephone | 2193745555 |
| Mailing Fax Number | 2193746669 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2010-05-07 |
| NPI Deactivation Date | 04/08/2010 |
| NPI Reactivation Date | 2010-05-07 |
| Authorized Official Name | DR. JON D. MISCH (PRESIDENT) |
| Authorized Official Telephone | 2193745555 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 02000900 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
13963 MORSE ST |
| City | CEDAR LAKE |
| State | IN |
| Zip Code | 46303-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837782 | Billie Ann Black | Nurse Practitioner | 13963 Morse St, Cedar Lake, IN 46303-9639 | 2006-01-27 |
| 1780150607 | Lauren Locke | Registered Nurse | 13963 Morse St, Cedar Lake, IN 46303-9639 | 2018-10-18 |
| 1205243524 | Melissa Krzus | Nurse Practitioner | 13963 Morse St, Cedar Lake, IN 46303-9639 | 2014-07-18 |
| 1215267661 | Detailed Dental | Dentist | 13963 Morse St, Cedar Lake, IN 46303-9639 | 2010-01-07 |
| 1053440289 | George William Harper | Dentist | 13963 Morse St, Suite A, Cedar Lake, IN 46303-9639 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356745327 | Robert Petersen | Occupational Therapy Assistant | 7105 W. 138th Ave., Cedar Lake, IN 46303 | 2014-10-20 |
| 1982956017 | Jean Marie Decavitch | Nurse Practitioner | 6831 W 133rd Ave, Cedar Lake, IN 46303 | 2012-10-13 |
| 1174761720 | Elizabeth Rachel Bakker | Speech-Language Pathologist | 12840 Alexander Street, Cedar Lake, IN 46303 | 2009-02-04 |
| 1982899654 | Terrence Scott Mcdermott | Dentist | 13315 Lincoln Plaza, Cedar Lake, IN 46303 | 2007-09-06 |
| 1568687937 | Terry Harman | Social Worker | 10800 W 33rd Ave, Cedar Lake, IN 46303 | 2007-04-13 |
| 1902992977 | Michael R Martell | Dentist | 12712 Wicker Avenue, Cedar Lake, IN 46303 | 2006-10-05 |
| 1346343035 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 11115 W. 133rd Ave, Cedar Lake, IN 46303 | 2006-09-07 |
| 1215040142 | Illiana Eyecare Inc | Optometrist | 13115 Wicker Avenue, Suite E, Cedar Lake, IN 46303 | 2006-08-16 |
| 1184852402 | Claire Dugan Mcclintock | Speech-Language Pathologist | 12845 Parrish Ave, Julie Berg Speech Pathology, P.C., Cedar Lake, IN 46303 | 2009-06-25 |
| 1962425090 | Town of Cedar Lake | Emergency Medical Technician, Intermediate | 9430 W. 133rd Avenue, Cedar Lake, IN 46303-0459 | 2006-07-26 |
| Find all providers in zip 46303 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR LAKE |
| Zip Code | 46303 |
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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.