Mary P Mcmanmon (NPI# 1255363172, PAC ID# 8325937949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255363172 |
| PAC ID by PECOS | 8325937949 |
| Professional Enrollment ID | I20060804000290 |
| Full Name | Mary P Mcmanmon |
| Organization Legal Name | HEART CITY HEALTH CENTER, INC. |
| Address |
236 Simpson Ave Elkhart IN 46516-4666 |
| Phone Number | 5745847373 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931008380 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191 | 5742930052 | HEART CITY HEALTH CENTER, INC. |
| 236 Simpson Ave, Elkhart, IN 46516-4666 | 5745847373 | HEART CITY HEALTH CENTER, INC. |
| Organization Legal Name | HEART CITY HEALTH CENTER, INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine D Swartzentruber | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Essam A Montasir | Internal Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kenneth S Bethel | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Martina Green-mcgowan | Obstetrics/gynecology | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Angelina T Panford | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Song I Baek | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Jo L Swart | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| James Jackson Jr. | Osteopathic Manipulative Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kusumakar R Bhatt | Family Practice | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Street Address |
236 SIMPSON AVE |
| City | ELKHART |
| State | IN |
| Zip | 46516-4666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorraine D Swartzentruber | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Essam A Montasir | Internal Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kenneth S Bethel | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Martina Green-mcgowan | Obstetrics/gynecology | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Angelina T Panford | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Song I Baek | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Jo L Swart | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| James Jackson Jr. | Osteopathic Manipulative Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kusumakar R Bhatt | Family Practice | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Mirante | Clinical Social Worker | 126 W Lexington Ave, Elkhart, IN 46516-3161 | |
| Jeffery A Mark | General Surgery | 515 S 2nd St, Elkhart, IN 46516-3224 | |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Peter M Carney | Neurosurgery | 244 Waterfall Dr, Elkhart, IN 46516-3668 | |
| Christina O Barnes | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Barbara Stitt | Nurse Practitioner | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| David Jay Shirley | Chiropractic | 2707 Toledo Rd, Suite 1, Elkhart, IN 46516-5772 | |
| James D Ruh | Chiropractic | 5230 Beck Dr, Suite 3, Elkhart, IN 46516-9059 | |
| Jeffrey Luke Watts | Orthopedic Surgery | I-spine LLC | 5218 Beck Dr, Suite 9and10, Elkhart, IN 46516-9121 |
| Andrew J Losiniecki | Neurosurgery | I-spine LLC | 5218 Beck Dr, Suite 9and10, Elkhart, IN 46516-9121 |
| Find all physicians in zip 46516 | |||
| City | ELKHART |
| Zip Code | 46516 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELKHART + FAMILY MEDICINE |
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| 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.