Douglas J Ladika (NPI# 1104076769, PAC ID# 9234032863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104076769 |
| PAC ID by PECOS | 9234032863 |
| Professional Enrollment ID | I20110803000140 |
| Full Name | Douglas J Ladika |
| Organization Legal Name | WITHAM MEMORIAL HOSPITAL |
| Address |
151 E Bow St Thorntown IN 46071-1164 |
| Phone Number | 7654362400 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1977 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082523170 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150104 | WITHAM HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 151 E Bow St, Thorntown, IN 46071-1164 | 7654362400 | WITHAM MEMORIAL HOSPITAL |
| 1650 W Oak St, Zionsville, IN 46077-3835 | WITHAM MEMORIAL HOSPITAL |
| Organization Legal Name | WITHAM MEMORIAL HOSPITAL |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew N Sollars | Physical Therapy | Witham Memorial Hospital | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 |
| Abby E White | Nurse Practitioner | Witham Memorial Hospital | 400 N Mt Zion Rd, Witham Convenient Care, Lebanon, IN 46052-9497 |
| Emma J Nordstrom | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Michael W Chapman | Family Medicine | Witham Memorial Hospital | 6085 Heartland Dr, Suite 205, Zionsville, IN 46077-4433 |
| Herschell Servies Jr. | Family Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Kelley I Gibbs | Nurse Practitioner | Witham Memorial Hospital | 1650 W Oak St, Zionsville, IN 46077-3835 |
| Brandon J Horn | Orthopedic Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| William N Arnold | Psychiatry | Witham Memorial Hospital | 2705 N Lebanon St, Suite 305, Lebanon, IN 46052-8622 |
| Nicholas R Osborne | Nurse Practitioner | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Charles L Elliott | Otolaryngology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Street Address |
151 E BOW ST |
| City | THORNTOWN |
| State | IN |
| Zip | 46071-1164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara S Click | Nurse Practitioner | Witham Memorial Hospital | 151 E Bow St, Thorntown, IN 46071-1164 |
| Joseph C Shank | Family Practice | Witham Memorial Hospital | 151 E Bow St, 101 Witham Health Services of Thorntown, Thorntown, IN 46071-1164 |
| City | THORNTOWN |
| Zip Code | 46071 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | THORNTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas J Ladika.
| 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.