Mary Katherine Molloy (NPI# 1114407699, PAC ID# 3678825049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1114407699 |
| PAC ID by PECOS | 3678825049 |
| Professional Enrollment ID | I20181012000951 |
| Full Name | Mary Katherine Molloy |
| Organization Legal Name | PARADIGM LIVING CONCEPTS, LLC |
| Address |
8904 Bash St Suite B Indianapolis IN 46256-1286 |
| Phone Number | 3177356001 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1355575424 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 | 3177356001 | PARADIGM LIVING CONCEPTS, LLC |
| Organization Legal Name | PARADIGM LIVING CONCEPTS, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Allen Hiland | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Tammra K Mallory | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Gayle Waldenmaier | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Street Address |
8904 BASH ST SUITE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46256-1286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Allen Hiland | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Tammra K Mallory | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Gayle Waldenmaier | Nurse Practitioner | Paradigm Living Concepts, LLC | 8904 Bash St, Suite B, Indianapolis, IN 46256-1286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Shahda | Nurse Practitioner | Community Physicians of Indiana Inc | 7120 Clearvista Dr, Indianapolis, IN 46256-0020 |
| Andrew J Wincek | Clinical Social Worker | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| Joanna S Peterson | Clinical Social Worker | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| David David Buckingham | Psychologist, Clinical | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| Bridget Marie Greulach | Clinical Social Worker | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| Susan Whitten | Clinical Social Worker | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| Mark L Williams | Clinical Social Worker | Buckingham and Associates PC | 8202 Clearvista Pkwy, Bldg 7, Indianapolis, IN 46256-1400 |
| Elizabeth Wingerter | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 7240 E 82nd St, Indianapolis, IN 46256-1404 |
| Neikolyn D Burns | Nurse Practitioner | Minuteclinic Diagnostics of Indiana LLC | 7240 E 82nd St, Indianapolis, IN 46256-1404 |
| Methee Srivatana | Rheumatology | Community Physicians of Indiana Inc | 7525 E 82nd St C, Indianapolis, IN 46256-1409 |
| Find all physicians in zip 46256 | |||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | INDIANAPOLIS + CLINICAL SOCIAL WORKER |
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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.