Zachary Aaron-francis Kistka (NPI# 1760671044, PAC ID# 4981838893) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1760671044 |
| PAC ID by PECOS | 4981838893 |
| Professional Enrollment ID | I20160629000423 |
| Full Name | Zachary Aaron-francis Kistka |
| Organization Legal Name | FAMILY MEDICINE OF SOUTH BEND PC |
| Address |
6301 University Commons Suite 210 South Bend IN 46635-1590 |
| Phone Number | 5742344016 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 5395659882 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151300 | COMMUNITY HOSPITAL OF BREMEN INC |
| 150018 | ELKHART GENERAL HOSPITAL |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| Address | Phone | Organization |
|---|---|---|
| 6301 University Commons, Suite 210, South Bend, IN 46635-1590 | 5742344016 | FAMILY MEDICINE OF SOUTH BEND PC |
| Organization Legal Name | FAMILY MEDICINE OF SOUTH BEND PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peri R Stangas | Physician Assistant | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Donald R Troyer | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Brian A Jacobs | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Ilana L Kirsch | Obstetrics/gynecology | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Frederick D Scheel | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| John M Jacobs | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Randy J Brush | Physician Assistant | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Street Address |
6301 UNIVERSITY COMMONS SUITE 210 |
| City | SOUTH BEND |
| State | IN |
| Zip | 46635-1590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peri R Stangas | Physician Assistant | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Donald R Troyer | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Brian A Jacobs | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Ilana L Kirsch | Obstetrics/gynecology | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Frederick D Scheel | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| John M Jacobs | Family Medicine | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Randy J Brush | Physician Assistant | Family Medicine of South Bend PC | 6301 University Commons, Suite 210, South Bend, IN 46635-1590 |
| Karen M Zusman | Occupational Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 430, South Bend, IN 46635-1416 |
| Linda M Charlebois | Audiologist | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 360, South Bend, IN 46635-3500 |
| Sheryl A Vanheesbeke | Physical Therapy | Allied Physicians of Michiana, LLC | 6301 University Commons, South Bend, IN 46635-1416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael James Oconnell | Family Medicine | 17960 Cleveland Rd, South Bend, IN 46635-1349 | |
| Auna L Preston | Psychologist, Clinical | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
| Keith Munneke | Clinical Social Worker | Samaritan Family Health and Counseling Center, Inc. | 17195 Cleveland Rd, South Bend, IN 46635-1415 |
| Thomas James Mango | Orthopedic Surgery | Allied Physicians of Michiana, LLC | 6301 University Commons, Suite 100, South Bend, IN 46635-1416 |
| Peter Damien Miller | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Matthew Richard Gillott | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Ester Petronella J Van Der Wal | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Lyndsay Alexandra Oancea | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Benjamin L Rase | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Robert J Rust | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Find all physicians in zip 46635 | |||
| City | SOUTH BEND |
| Zip Code | 46635 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SOUTH BEND + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Zachary Aaron-francis Kistka.
| 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.