Monzur Haque (NPI# 1639436314, PAC ID# 4183989122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1639436314 |
| PAC ID by PECOS | 4183989122 |
| Professional Enrollment ID | I20180523000433 |
| Full Name | Monzur Haque |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Address |
500 W Votaw St Portland IN 47371-1322 |
| Phone Number | 2607267131 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9537072640 |
| Number of Group Practice Members | 258 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151320 | JAY COUNTY HOSPITAL |
| 151302 | INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL |
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 W Votaw St, Portland, IN 47371-1322 | 2607267131 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| 473 E Greenville Ave, Winchester, IN 47394-9436 | 7655840004 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber D Petty | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 2525 W University Ave, Muncie, IN 47303-3421 |
| Kyra Dawn Kempher | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Cassandra Louise Alexander | Clinical Social Worker | Indiana University Health Ball Memorial Physicians Inc | 1758 W 100, Portland, IN 47371-8204 |
| Aisha N Davis | Hospitalist | Indiana University Health Ball Memorial Physicians Inc | 2401 W University Ave, Muncie, IN 47303-3428 |
| Joseph Francis Vormohr | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 430 W Votaw St, Portland, IN 47371-1302 |
| Vallikantha Nellaiappan | Endocrinology | Indiana University Health Ball Memorial Physicians Inc | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 |
| Christina Andrew | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 5501 W Bethel Ave, Muncie, IN 47304-8513 |
| Maria E Faget | Obstetrics/gynecology | Indiana University Health Ball Memorial Physicians Inc | 210 N Tillotson Ave, Muncie, IN 47304-3988 |
| Claudia B Sursa | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 349 W 1st St, Albany, IN 47320-1705 |
| Pamela L Wright | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 800 S Tillotson Ave, Muncie, IN 47304-4529 |
| Street Address |
500 W VOTAW ST |
| City | PORTLAND |
| State | IN |
| Zip | 47371-1322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Brown | Emergency Medicine | Indiana University Health Ball Memorial Physicians Inc | 500 W Votaw St, Portland, IN 47371-1322 |
| Anne E. Hardesty | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 500 W Votaw St, Portland, IN 47371-1322 |
| Carla Ford | Clinical Social Worker | Jay County Hospital | 500 W Votaw St, Portland, IN 47371-1322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy W Adams | Physical Therapy | 111 W N St, Portland, IN 47371-1153 | |
| Courtney Bible | Physical Therapy | Adams Physical Therapy Services Inc | 111 W N St, Portland, IN 47371-1153 |
| Joseph Francis Vormohr | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 430 W Votaw St, Portland, IN 47371-1302 |
| Camille A Elick Shawver | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 428 W Votaw St, Portland, IN 47371-1302 |
| Samir Gamal Ishak | Psychiatry | 500 W Votaw, Jay County Hospital, Portland, IN 47371-1322 | |
| Shaun M Roberts | Chiropractic | Schmit Chiropractic Offices, LLC | 207 W Main St, Portland, IN 47371-2124 |
| Cassandra Louise Alexander | Clinical Social Worker | Indiana University Health Ball Memorial Physicians Inc | 1758 W 100, Portland, IN 47371-8204 |
| David Allen Fullenkamp | Optometry | 1111 N Meridian St, Portland, IN 47371-8717 | |
| Edward C Schmit | Chiropractic | 1607 /2 N Meridian St, Portland, IN 47371-9301 |
| City | PORTLAND |
| Zip Code | 47371 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PORTLAND + GENERAL SURGERY |
Please comment or provide details below to improve the information on Monzur Haque.
| 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.