Theodore Bauer Jennermann (NPI# 1073891735, PAC ID# 3173822673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1073891735 |
PAC ID by PECOS | 3173822673 |
Professional Enrollment ID | I20170531000536 |
Full Name | Theodore Bauer Jennermann |
Organization Legal Name | NORTHWEST RADIOLOGIST PC |
Address |
2015 Jackson St Anderson IN 46016-4337 |
Phone Number | 7656492511 |
Gender | M |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 1557331261 |
Number of Group Practice Members | 57 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150153 | ST VINCENT HEART CENTER OF INDIANA LLC |
150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
150059 | RIVERVIEW HEALTH |
150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2015 Jackson St, Anderson, IN 46016-4337 | 7656492511 | NORTHWEST RADIOLOGIST PC |
1600 23rd St, Bedford, IN 47421-4704 | 8122753331 | NORTHWEST RADIOLOGIST PC |
12188 N Meridian St, 101 Meridian North Imaging Center, Carmel, IN 46032-4578 | 3177159999 | NORTHWEST RADIOLOGIST PC |
13500 N Meridian St, St Vincent Carmel Hospital, Carmel, IN 46032-1456 | 3175827000 | NORTHWEST RADIOLOGIST PC |
1331 S A St, Elwood, IN 46036-1942 | 7655524600 | NORTHWEST RADIOLOGIST PC |
13861 Olio Rd, Fishers, IN 46037-3487 | 3174159000 | NORTHWEST RADIOLOGIST PC |
2485 E Wabash St, St. Vincent Frankfort, Frankfort, IN 46041-9400 | 7656563985 | NORTHWEST RADIOLOGIST PC |
10580 N Meridian St, St Vincent Heart Center of Indiana, Indianapolis, IN 46290-1028 | 3175835000 | NORTHWEST RADIOLOGIST PC |
10603 N Meridian St, Northwest Radiology Network, Indianapolis, IN 46290-1055 | 3179729669 | NORTHWEST RADIOLOGIST PC |
4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254-5474 | 3172934113 | AMERICAN HEALTH NETWORK OF INDIANA LLC |
8050 Township Line Rd, Indianapolis, IN 46260-2478 | 3174158500 | NORTHWEST RADIOLOGIST PC |
8111 Township Line Rd, Indianapolis, IN 46260-2479 | 3174158111 | NORTHWEST RADIOLOGIST PC |
8301 Harcourt Rd, Indianapolis, IN 46260-2081 | 3174156760 | NORTHWEST RADIOLOGIST PC |
2605 N Lebanon St, Witham Memorial Hospital, Lebanon, IN 46052-1476 | 7654858000 | NORTHWEST RADIOLOGIST PC |
18051 River Rd, Suite 103, Noblesville, IN 46062-7093 | 3177730002 | NORTHWEST RADIOLOGIST PC |
911 N Shelby St, St Vincent Salem Hospital, Salem, IN 47167-2304 | 8128835881 | NORTHWEST RADIOLOGIST PC |
412 N Monroe St, St. Vincent Williamsport Hospital, Williamsport, IN 47993-1049 | 7657624000 | NORTHWEST RADIOLOGIST PC |
Organization Legal Name | NORTHWEST RADIOLOGIST PC |
Physicians | 58 |
Name | Specialty | Organization | Address |
---|---|---|---|
Martha J Dwenger | Diagnostic Radiology | Northwest Radiologist PC | 1547 Ohio Ave, Anderson, IN 46016-1917 |
Brian Jellison | Diagnostic Radiology | Northwest Radiologist PC | 10603 N Meridian St, Northwest Radiology Network, Indianapolis, IN 46290-1055 |
Caryn C Anderson | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Theodore P Labus | Diagnostic Radiology | Northwest Radiologist PC | 12188 N Meridian St, 101 Meridian North Imaging Center, Carmel, IN 46032-4578 |
Matthew M. Locker | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
John M Michael | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Jane S Mitchell | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Matthew Robert Brown | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Anthony Christopher Illing | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Kelly K. Horst | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Street Address |
2015 JACKSON ST |
City | ANDERSON |
State | IN |
Zip | 46016-4337 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caryn C Anderson | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Matthew M. Locker | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
John M Michael | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Ubaidullah Sharief | Hematology | St Vincent Medical Group Inc | 2015 Jackson St, Anderson, IN 46016-4337 |
Jane S Mitchell | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Mark Thomas Bernardi | Emergency Medicine | Emergency Professionals of Indiana, P.C. | 2015 Jackson St, Anderson, IN 46016-4337 |
Matthew Robert Brown | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Anthony Christopher Illing | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Kelly K. Horst | Diagnostic Radiology | Northwest Radiologist PC | 2015 Jackson St, Anderson, IN 46016-4337 |
Jennifer Erin Scarberry | Nurse Practitioner | St Vincent Medical Group Inc | 2015 Jackson St, Anderson, IN 46016-4337 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Wendy L Shannon | Nurse Practitioner | 720 W 8th St, Anderson, IN 46016-1206 | |
Roxanne D Brunsman | Clinical Social Worker | 405 W 8th St, Suite 2, Anderson, IN 46016-1311 | |
Jean Manis | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
Rachel J Ramsey | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
Thomas E Murray | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
Phyllis Marilyn Olson | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
Donald L Allbaugh | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
Arlus J Whitfield | Chiropractic | Family Chiropractic Group, Inc., P.C. | 311 Jackson St, Anderson, IN 46016-1558 |
David B Tarr | Psychologist, Clinical | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
Kary Morford | Nurse Practitioner | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
Find all physicians in zip 46016 |
City | ANDERSON |
Zip Code | 46016 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | ANDERSON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Theodore Bauer Jennermann.
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.