Miranda Tedder (NPI# 1023650868, PAC ID# 1658603287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023650868 |
| PAC ID by PECOS | 1658603287 |
| Professional Enrollment ID | I20191030002906 |
| Full Name | Miranda Tedder |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Address |
3611 S Reed Rd Suite 214 Kokomo IN 46902-3828 |
| Phone Number | 7658648700 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759416662 |
| Number of Group Practice Members | 1076 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 | 7658648700 | COMMUNITY PHYSICIANS OF INDIANA INC |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Physicians | 1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sasikanth Adigopula | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 |
| Itoro Okpokho | Family Medicine | Community Physicians of Indiana Inc | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 |
| Rebecca A King | Nurse Practitioner | Community Physicians of Indiana Inc | 101 S Liberty St, Russiaville, IN 46979-9125 |
| Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Alyson M Ruotanen | Qualified Audiologist | Community Physicians of Indiana Inc | 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990 |
| Fnu Rakshita Chandrashekar | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1101 W Jefferson St S, Franklin, IN 46131-2147 |
| Robert W Godley Ii | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760 |
| Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Cortnie N Yoder | Physician Assistant | Community Physicians of Indiana Inc | 1402 E County Line Rd, Suite 2400, Indianapolis, IN 46227-0963 |
| Street Address |
3611 S REED RD SUITE 214 |
| City | KOKOMO |
| State | IN |
| Zip | 46902-3828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Tredemeyer | Osteopathic Manipulative Medicine | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 106, Kokomo, IN 46902-3828 |
| Clinton P Scruggs | Family Medicine | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
| Jitendra N Sharma | Neurology | 3611 S Reed Rd, Suite 101, Kokomo, IN 46902-3828 | |
| Virginia B Hemelt | Neurology | 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3828 | |
| Allison Cardwell | Nurse Practitioner | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
| Jay B Frazer | Podiatry | West Sycamore Podiatry, Inc | 3611 S Reed Rd, 104 Advanced Foot and Ankle Clinic, Kokomo, IN 46902-3828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannette S Murphy | Clinical Social Worker | 1428 S Main St, Suite 2, Kokomo, IN 46902-1693 | |
| Dawn R Cassidy | Optometry | City Optical Co Inc | 1164 S 17th St, Dr Tavel Family Eye Care, Kokomo, IN 46902-1901 |
| Mark G Cutler | Optometry | Wisconsin Vision Inc | 2030 S Reed Rd, Heartland Vision, Kokomo, IN 46902-1905 |
| Frank Decleene Iii | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Travis Christopher Stephens | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Catherine Marie Decleene | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Dana Y Stewart | Pediatric Medicine | 700 E Firmin St, Suite 212, Kokomo, IN 46902-2375 | |
| Ann Swingle Lauri | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
| Christopher Markus | Physical Therapy | Accelerated Rehabilitation Centers Ltd. | 2108 E Blvd, Kokomo, IN 46902-2401 |
| Chad P Schumann | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
| Find all physicians in zip 46902 | |||
| City | KOKOMO |
| Zip Code | 46902 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KOKOMO + NURSE PRACTITIONER |
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| 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.