Thomas Wilkins (NPI# 1083061568, PAC ID# 4688962277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083061568 |
| PAC ID by PECOS | 4688962277 |
| Professional Enrollment ID | I20190806004121 |
| Full Name | Thomas Wilkins |
| Organization Legal Name | 219 HEALTH NETWORK INC |
| Address |
3432 169th St Hammond IN 46323-2542 |
| Phone Number | 2198449060 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547521452 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150008 | ST CATHERINE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 3432 169th St, Hammond, IN 46323-2542 | 2198449060 | 219 HEALTH NETWORK INC |
| Organization Legal Name | 219 HEALTH NETWORK INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gagandeep Kaur | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Kantilal S Patel | Internal Medicine | 219 Health Network Inc | 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 |
| Michael C Hu | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Claudia M Rodriguez | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Anna S Hristova | Nurse Practitioner | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Eleazar E Calero | Internal Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Jun Dong Kim | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Fadia J Haddadin | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Matthew Arnold Ramos Libiran | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Kimberly D Arthur | Obstetrics/gynecology | 219 Health Network Inc | 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 |
| Street Address |
3432 169TH ST |
| City | HAMMOND |
| State | IN |
| Zip | 46323-2542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph R Kolanko | Chiropractic | 3224 165th St, Hammond, IN 46323-1218 | |
| Doran E Lounsbury | Physical Therapy | Community Care Network Inc | 2200 169th St Gyte Annex Rm, 34 Purdue Univ Hlth Ctr, Hammond, IN 46323-2068 |
| Mark Thomas Lucas | Physical Therapy | Community Care Network Inc | 2300 173rd St, Rm 143, Hammond, IN 46323-2076 |
| City | HAMMOND |
| Zip Code | 46323 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAMMOND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas Wilkins.
| 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.