Kendell L Oetter


Address: 9805 Prairie Ave, Highland, IN 46322-3633

Kendell L Oetter (NPI# 1194785980, PAC ID# 8628142015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1194785980
PAC ID by PECOS 8628142015
Professional Enrollment ID I20080802000081
Full Name Kendell L Oetter
Address 9805 Prairie Ave
Highland
IN 46322-3633
Gender M
Medical School UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year 1979
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150125 COMMUNITY HOSPITAL
140242 CENTRAL DUPAGE HOSPITAL
150090 FRANCISCAN HEALTH DYER
150126 FRANCISCAN HEALTH CROWN POINT
150165 FRANCISCAN HEALTHCARE - MUNSTER

Other Locations

Address Phone Organization
9805 Prairie Ave, Highland, IN 46322-3633

Organization Information

Office Location

Street Address 9805 PRAIRIE AVE
City HIGHLAND
State IN
Zip 46322-3633

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Name Specialty Organization Address
David Cox Chiropractic 8219 Kennedy Ave, Highland, IN 46322-1131
Susan Ramirez Internal Medicine 8437 Kennedy Ave, Highland, IN 46322-1140
Pradeep V Kalokhe Neurology Community Care Network Inc 8427 Kennedy Ave, Highland, IN 46322-1140
Bharat V Bhavsar Family Medicine Community Care Network Inc 8731 Indianapolis Blvd, Highland, IN 46322-1551
Pyarali M Keshvani Family Medicine Community Care Network Inc 8731 Indianapolis Blvd, Highland, IN 46322-1551
Jose L Ramirez Psychiatry Southlake Community Mental Health Center Inc 2600 Hwy Ave, Highland, IN 46322-1613
Lisa M Ogut Clinical Social Worker Southlake Community Mental Health Center Inc 2600 Hwy Ave, Highland, IN 46322-1613
David J Foreit Family Medicine Fordem Health LLC 2621 Hwy Ave, Highland, IN 46322-1614
Liza R Parikh Family Medicine Gandhi Medical Center PC 2727 Hwy Ave, Highland, IN 46322-1615
Linus Bhupendra Gandhi Internal Medicine Gandhi Medical Center PC 2727 Hwy Ave, Highland, IN 46322-1615
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Competitor

Search similar physicians

City HIGHLAND
Zip Code 46322
Specialty FAMILY MEDICINE
City + Specialty HIGHLAND + FAMILY MEDICINE

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Dataset Information

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.

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