Enrique E Infante (NPI# 1194707117, PAC ID# 3678536331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1194707117 |
| PAC ID by PECOS | 3678536331 |
| Professional Enrollment ID | I20080811000287 |
| Full Name | Enrique E Infante |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Address |
14950 State Rd Suite 23 Granger IN 46530-7564 |
| Phone Number | 5742434450 |
| Gender | M |
| Credential | MD |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3779577937 |
| Number of Group Practice Members | 139 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 14950 State Rd, Suite 23, Granger, IN 46530-7564 | 5742434450 | THE SOUTH BEND CLINIC LLP |
| Organization Legal Name | THE SOUTH BEND CLINIC LLP |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Cassady | Family Medicine | The South Bend Clinic LLP | 4440 Portage Ave, South Bend, IN 46628-9570 |
| Kathryn Latimer Werda | Physical Therapy | The South Bend Clinic LLP | 301 E Day Rd, Mishawaka, IN 46545-3455 |
| Kelly M Losiniecki | Nurse Practitioner | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Robert Lee | Family Medicine | The South Bend Clinic LLP | 2102 E Inwood Rd, South Bend, IN 46614-2443 |
| Todd Rozycki | Dermatology | The South Bend Clinic LLP | 1802 Day Rd, Mishawaka, IN 46545-4329 |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Steven P Crowell | Internal Medicine | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Andrey P Seluzhitskiy | Family Medicine | The South Bend Clinic LLP | 8984 E Us Hwy 20, New Carlisle, IN 46552-9038 |
| Ralph E Inabnit | Family Medicine | The South Bend Clinic LLP | 211 N Eddy St, South Bend, IN 46617-2808 |
| Robert Gregory Credi | General Surgery | The South Bend Clinic LLP | 52500 Fir Rd, Granger, IN 46530-8579 |
| Street Address |
14950 STATE RD SUITE 23 |
| City | GRANGER |
| State | IN |
| Zip | 46530-7564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Weston Hammang | Family Medicine | The South Bend Clinic LLP | 14950 State Rd, Suite 23, Granger, IN 46530-7564 |
| Deborah L Martin-stoldt | Nurse Practitioner | The South Bend Clinic LLP | 14950 State Rd, Suite 23, Granger, IN 46530-7564 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roni Aizigov | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Steven Thomas Matthiesen | Certified Registered Nurse Anesthetist (crna) | Cardinal Anesthesia LLC | 5507 Singer Ct, Granger, IN 46530-4481 |
| Emilia Kareem | Physical Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Amy L Rhew | Speech Language Pathologist | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Joann S Scheetz | Occupational Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Hearth At Juday Creek, Granger, IN 46530-4753 |
| Christine Copeland | Physical Therapy | Paxxon Healthcare Services LLC | 6330 N Fir Rd, Granger, IN 46530-4753 |
| Laura L Labonne | Occupational Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Brittney Wilcher | Physical Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Randi Richelle Osterloo | Physical Therapy | Advanced Physical Therapy LLC | 12980 Adams Rd, Suite B, Granger, IN 46530-4800 |
| Austin N Simmons | Chiropractic | 51099 Bittersweet Rd, Suite H, Granger, IN 46530-4990 | |
| Find all physicians in zip 46530 | |||
| City | GRANGER |
| Zip Code | 46530 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GRANGER + OBSTETRICS/GYNECOLOGY |
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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.