Barrett Fricke (NPI# 1508154667, PAC ID# 4981833688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1508154667 |
| PAC ID by PECOS | 4981833688 |
| Professional Enrollment ID | I20170718000787 |
| Full Name | Barrett Fricke |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| Address |
9301 Connecticut Dr Crown Point IN 46307-7486 |
| Phone Number | 2194644891 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5890754469 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150035 | PORTER REGIONAL HOSPITAL |
| 151305 | PULASKI MEMORIAL HOSPITAL |
| 150166 | PINNACLE HOSPITAL |
| 150177 | UNITY MEDICAL AND SURGICAL HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 9301 Connecticut Dr, Crown Point, IN 46307-7486 | 2194644891 | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| 814 Laporte Ave, Valparaiso, IN 46383-5860 | 2192634684 | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| 85 E Us Hwy 6 Frontage Rd, Valparaiso, IN 46383-8947 | 2199838300 | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| 616 E 13th St, Winamac, IN 46996-1117 | 5749462136 | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| Organization Legal Name | RADIOLOGIC ASSOCIATES OF NORTHWEST INDIANA PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther H Lee | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Jeffrey M Huth | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 814 Laporte Ave, Valparaiso, IN 46383-5860 |
| James M Forde | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Maximo V Bleza | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Divyesh G Patel | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Anil Kothari | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 814 Laporte Ave, Valparaiso, IN 46383-5860 |
| Street Address |
9301 CONNECTICUT DR |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-7486 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther H Lee | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Arsenio S Favor | General Surgery | 9301 Connecticut Dr, Crown Point, IN 46307-7486 | |
| Donald W Kucharzyk | Orthopedic Surgery | 9301 Connecticut Dr, Crown Point, IN 46307-7486 | |
| Walter V Spasevski | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Robert J Colcord | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Norma R Odar | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| James M Forde | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Maximo V Bleza | Diagnostic Radiology | Radiologic Associates of Northwest Indiana PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Daniel Bermea | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Dane M Lee | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesia PC | 9301 Connecticut Dr, Crown Point, IN 46307-7486 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CROWN POINT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Barrett Fricke.
| 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.