Heather M Kistka (NPI# 1144464850, PAC ID# 1254634751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1144464850 |
| PAC ID by PECOS | 1254634751 |
| Professional Enrollment ID | I20160715001975 |
| Full Name | Heather M Kistka |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Address |
900 I St La Porte IN 46350-5533 |
| Phone Number | 2193241700 |
| Gender | F |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 1254243306 |
| Number of Group Practice Members | 331 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| 150026 | GOSHEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Arcade Ave, Elkhart, IN 46514-2485 | BEACON MEDICAL GROUP INC | |
| 600 E Blvd, Bmg Gastroenteroloy Elkhart, Elkhart, IN 46514-2483 | 5743897362 | BEACON MEDICAL GROUP INC |
| 6913 N Main St, Granger, IN 46530-8039 | BEACON MEDICAL GROUP INC | |
| 900 I St, La Porte, IN 46350-5533 | 2193241700 | BEACON MEDICAL GROUP INC |
| 100 Navarre Pl, 6600 Bmg N Central Neurosurgery Sb, South Bend, IN 46601-1173 | 5746478800 | BEACON MEDICAL GROUP INC |
| 615 N Michigan St Fl, South Bend, IN 46601-1033 | BEACON MEDICAL GROUP INC | |
| 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 | 5746478177 | BEACON MEDICAL GROUP INC |
| Organization Legal Name | BEACON MEDICAL GROUP INC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
| Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
| John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
| Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
| Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
| Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
| Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
| Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
| Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Street Address |
900 I ST |
| City | LA PORTE |
| State | IN |
| Zip | 46350-5533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Steven K Lawrence | Physical Therapy | Beacon Health, LLC | 900 I St, Suite 100, La Porte, IN 46350-5533 |
| David Eugene Fumo Sr. | Gastroenterology | Franciscan Physician Network | 900 I St, La Porte, IN 46350-5533 |
| Jennifer A Alderink | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| John Michael Swangim | Podiatry | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Natalie J Frentz | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Michelle A Thompson | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Jody Lynn Wiseman | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Michael D Howard | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Daniel E Edquist | Family Medicine | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Rae Nebelsick | Obstetrics/gynecology | Franciscan Physician Network | 309 W Johnson Rd, La Porte, IN 46350-1943 |
| Nancy Hoback | Clinical Social Worker | 245 W Johnson Rd, Suite 2, La Porte, IN 46350-2026 | |
| Amer Mahmud Kazi | Neurology | 286 W Johnson Rd E, Indiana Pain and Spine Clinic, Laporte, IN 46350-2060 | |
| Mary Beth Schramlin | Clinical Social Worker | 2626 N State Rd 39, Suite 4, La Porte, IN 46350-2074 | |
| Mark C Grant | Chiropractic | 611 Pine Lake Ave, Laporte, IN 46350-2318 | |
| Diana M Correll | Physician Assistant | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Mackenzie Jacquelyn Blust | Physician Assistant | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Neil W Wangstrom | Otolaryngology | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Jessica L Barr | Qualified Audiologist | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Jessie B Batchelor | Audiologist | La Porte Clinic Company LLC | 304 Detroit St, La Porte, IN 46350-2497 |
| Find all physicians in zip 46350 | |||
| City | LA PORTE |
| Zip Code | 46350 |
| Specialty | NEUROSURGERY |
| City + Specialty | LA PORTE + NEUROSURGERY |
Please comment or provide details below to improve the information on Heather M Kistka.
| 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.