Jonathan B Lupton (NPI# 1013903541, PAC ID# 5991697625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1013903541 |
| PAC ID by PECOS | 5991697625 |
| Professional Enrollment ID | I20110126001037 |
| Full Name | Jonathan B Lupton |
| Organization Legal Name | SOUTHSIDE OB-GYN PC |
| Address |
1205 Hadley Rd Mooresville IN 46158-1737 |
| Phone Number | 3175843454 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1557253283 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150162 | FRANCISCAN HEALTH INDIANAPOLIS |
| Address | Phone | Organization |
|---|---|---|
| 8051 S Emerson Ave, Suite 400, Indianapolis, IN 46237-8633 | 3178653600 | SOUTHSIDE OB-GYN PC |
| 1205 Hadley Rd, Mooresville, IN 46158-1737 | 3175843454 | SOUTHSIDE OB-GYN PC |
| Organization Legal Name | SOUTHSIDE OB-GYN PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherrell Lanae Triplett | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Virginia A Takagi | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Brent Atwood Suozzi | Obstetrics/gynecology | Southside Ob-gyn PC | 8051 S Emerson Ave, Suite 400, Indianapolis, IN 46237-8633 |
| James R Dunlop | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Arielle N Noel | Physician Assistant | Southside Ob-gyn PC | 8051 S Emerson Ave, Suite 400, Indianapolis, IN 46237-8633 |
| Bryan K Perkins | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Leslie Foxlow | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Michael L Boothe | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Brittany Johnson | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Jamie L Cooper | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Street Address |
1205 HADLEY RD |
| City | MOORESVILLE |
| State | IN |
| Zip | 46158-1737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherrell Lanae Triplett | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Virginia A Takagi | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| James R Dunlop | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Angie Louise Howald | Nurse Practitioner | Franciscan Physician Network | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Bryan K Perkins | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Leslie Foxlow | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Michael L Boothe | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Brittany Johnson | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Jamie L Cooper | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Tienne K Randolph | Obstetrics/gynecology | Southside Ob-gyn PC | 1205 Hadley Rd, Mooresville, IN 46158-1737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles D Christian | Internal Medicine | Indiana University Health Care Associates Inc | 820 N Samuel Moore Pkwy B, Iu Health Physicians Internal Med, Mooresville, IN 46158-1467 |
| Lindsey Renee Kocher | Physician Assistant | University Family Physicians, Inc. | 820 N Samuel Moore Pkwy, Iu Health Physicians Primary Care, Mooresville, IN 46158-1467 |
| Katharina M Weber | Internal Medicine | University Family Physicians, Inc. | 820 N Samuel Moore Pkwy, Iu Health Physicians Primary Care, Mooresville, IN 46158-1467 |
| Richard H Bernhardt | Internal Medicine | University Family Physicians, Inc. | 820 N Samuel Moore Pkwy, Iu Health Physicians Primary Care, Mooresville, IN 46158-1467 |
| Adam David Henry | Internal Medicine | University Family Physicians, Inc. | 820 N Samuel Moore Pkwy, Iu Health Physicians Primary Care, Mooresville, IN 46158-1467 |
| Michael A Rawlings | Internal Medicine | University Family Physicians, Inc. | 820 N Samuel Moore Pkwy, Iu Health Physicians Primary Care, Mooresville, IN 46158-1467 |
| Charles Ray Lucas | Clinical Social Worker | 902 N Samuel Moore Pkwy, Mooresville, IN 46158-1475 | |
| Diane Gandy Gardner | Qualified Audiologist | Midwest Ear Institute, P.C. | 904 N Samuel Moore Pkwy, Mooresville, IN 46158-1475 |
| Janet R Perkins | Nurse Practitioner | Community Physicians of Indiana Inc | 115 Fields St, Mooresville, IN 46158-1492 |
| Michelle L Jackson | Nurse Practitioner | Community Physicians of Indiana Inc | 115 Fields St, Mooresville, IN 46158-1492 |
| Find all physicians in zip 46158 | |||
| City | MOORESVILLE |
| Zip Code | 46158 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MOORESVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jonathan B Lupton.
| 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.