Audrey Simone Dawson (NPI# 1053889915, PAC ID# 0941544555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053889915 |
| PAC ID by PECOS | 0941544555 |
| Professional Enrollment ID | I20181210001231 |
| Full Name | Audrey Simone Dawson |
| Organization Legal Name | NORTHSHORE HEALTH CENTERS INC |
| Address |
2490 Central Ave Lake Station IN 46405-2122 |
| Phone Number | 2197638112 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5799671236 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2490 Central Ave, Lake Station, IN 46405-2122 | 2197638112 | NORTHSHORE HEALTH CENTERS INC |
| Organization Legal Name | NORTHSHORE HEALTH CENTERS INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Tipton | Obstetrics/gynecology | Northshore Health Centers Inc | 6091 Broadway, Merrillville, IN 46410-2619 |
| Aditya S Shah | Family Medicine | Northshore Health Centers Inc | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 |
| Miljan R Stankovic | Obstetrics/gynecology | Northshore Health Centers Inc | 3564 Scottsdale St, Portage, IN 46368-5420 |
| Frank X Weilnhammer | Family Medicine | Northshore Health Centers Inc | 6450 Us Hwy 6, Portage, IN 46368-5110 |
| Reynaldo M Caluag | Family Medicine | Northshore Health Centers Inc | 407 W Indiana Ave, Northshore Chesterton Health Center, Chesterton, IN 46304-2350 |
| Fernando H Rivera | Family Medicine | Northshore Health Centers Inc | 6450 Us Hwy 6, Portage, IN 46368-5110 |
| Oluwamuyiwa O Bolonduro | Obstetrics/gynecology | Northshore Health Centers Inc | 6450 Us Hwy 6, Portage, IN 46368-5110 |
| Andi Arnautovic | Family Medicine | Northshore Health Centers Inc | 407 W Indiana Ave, Northshore Chesterton Health Center, Chesterton, IN 46304-2350 |
| Kobie I Douglas | Psychiatry | Northshore Health Centers Inc | 6450 Us Hwy 6, Portage, IN 46368-5110 |
| Ronald S Lemon Ii | Optometry | Northshore Health Centers Inc | 6450 Us Hwy 6, Portage, IN 46368-5110 |
| Street Address |
2490 CENTRAL AVE |
| City | LAKE STATION |
| State | IN |
| Zip | 46405-2122 |
| City | LAKE STATION |
| Zip Code | 46405 |
| Specialty | OPTOMETRY |
| City + Specialty | LAKE STATION + OPTOMETRY |
Please comment or provide details below to improve the information on Audrey Simone Dawson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.