Jordan L Dutter (NPI# 1730157835, PAC ID# 2567530447) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730157835 |
| PAC ID by PECOS | 2567530447 |
| Professional Enrollment ID | I20081006000158 |
| Full Name | Jordan L Dutter |
| Organization Legal Name | UNITY HEALTHCARE LLC |
| Address |
3806 Amelia Ave Suite B Lafayette IN 47905-5772 |
| Phone Number | 5749674523 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244123362 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150109 | FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST |
| 150072 | MEMORIAL HOSPITAL |
| 150173 | INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL |
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| 151312 | INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3806 Amelia Ave, Suite B, Lafayette, IN 47905-5772 | 5749674523 | UNITY HEALTHCARE LLC |
| Organization Legal Name | UNITY HEALTHCARE LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydia Capps | Nurse Practitioner | Unity Healthcare LLC | 203 N Division St, Flora Family Medicine, Flora, IN 46929-1099 |
| Kristina L Renfrow | Nurse Practitioner | Unity Healthcare LLC | 975 Mezzanine Dr, Suite C, Lafayette, IN 47905-8635 |
| Jade Price | Occupational Therapy | Unity Healthcare LLC | 257 Sagamore Pkwy W, West Lafayette, IN 47906-1563 |
| Katherine M Cummins | Podiatry | Unity Healthcare LLC | 1345 Unity Pl, Suite 225, Lafayette, IN 47905-5762 |
| Ryan W Fay | Nurse Practitioner | Unity Healthcare LLC | 3806 Amelia Ave, Suite B, Lafayette, IN 47905-5772 |
| Cynthia J Bricknell | Nurse Practitioner | Unity Healthcare LLC | 166 Sagamore Pkwy W, Gagan Chadha Md, West Lafayette, IN 47906-1569 |
| Courtenay A Wells | Nurse Practitioner | Unity Healthcare LLC | 3774 Bayley Dr, Suite A, Lafayette, IN 47905-8654 |
| Randous J Bowens | Physical Therapy | Unity Healthcare LLC | 500 W Navajo St, West Lafayette, IN 47906-1999 |
| Robert Norman Phillion | Psychologist, Clinical | Unity Healthcare LLC | 2020 Union St, Suite 101, Lafayette, IN 47904-2694 |
| Robert O Bigler | Pain Management | Unity Healthcare LLC | 1411 S Creasy Ln, 130 Unity Radioloy/integra Imaging, Lafayette, IN 47905-7433 |
| Street Address |
3806 AMELIA AVE SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-5772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan W Fay | Nurse Practitioner | Unity Healthcare LLC | 3806 Amelia Ave, Suite B, Lafayette, IN 47905-5772 |
| Nathan D Bacon | Physical Therapy | Unity Healthcare LLC | 3806 Amelia Ave, Lafayette, IN 47905-5772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAFAYETTE + FAMILY MEDICINE |
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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.