Amy Dippel (NPI# 1619227642, PAC ID# 9638321177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619227642 |
| PAC ID by PECOS | 9638321177 |
| Professional Enrollment ID | I20121210000342 |
| Full Name | Amy Dippel |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF INDIANA LLC |
| Address |
133 W Market St Indianapolis IN 46204-2801 |
| Phone Number | 9044463764 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678874567 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150001 | JOHNSON MEMORIAL HOSPITAL |
| 150097 | MAJOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 W Market St, Indianapolis, IN 46204-2801 | 9044463764 | HEALOGICS SPECIALTY PHYSICIANS OF INDIANA LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF INDIANA LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie R Harper | Geriatric Medicine | Healogics Specialty Physicians of Indiana LLC | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 |
| Christine Nicole Poe | Nurse Practitioner | Healogics Specialty Physicians of Indiana LLC | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 |
| Barbara Chupp-grove | Nurse Practitioner | Healogics Specialty Physicians of Indiana LLC | 2000 Roosevelt Rd, Bldg A, Valparaiso, IN 46383-2800 |
| Daniel Raymond Legrand | Vascular Surgery | Healogics Specialty Physicians of Indiana LLC | 1159 W Jefferson St, Suite 305, Franklin, IN 46131-2795 |
| Betty Jo A Mills | Diagnostic Radiology | Healogics Specialty Physicians of Indiana LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Derek Tennenhouse | Internal Medicine | Healogics Specialty Physicians of Indiana LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Susan Jane Morical | Nurse Practitioner | Healogics Specialty Physicians of Indiana LLC | 3901 7th S St, Terre Haute, IN 47802-5709 |
| Arjun K Gupta | General Surgery | Healogics Specialty Physicians of Indiana LLC | 2000 Roosevelt Rd, Bldg A, Valparaiso, IN 46383-2800 |
| Louis A Hahn | Emergency Medicine | Healogics Specialty Physicians of Indiana LLC | 1907 W Sycamore St, Kokomo, IN 46901-5148 |
| Troy A Sargent | General Surgery | Healogics Specialty Physicians of Indiana LLC | 2200 Randallia Dr, Suite 2, Fort Wayne, IN 46805-4638 |
| Street Address |
133 W MARKET ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46204-2801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Lukacsko | Physical Therapy | Advanced Physical Therapy LLC | 433 N Capital Ave, 102 Ati Physical Therapy of Indiana, Indianapolis, IN 46204-1238 |
| Meganne Punt | Physical Therapy | Advanced Physical Therapy LLC | 433 N Capital Ave, 102 Ati Physical Therapy of Indiana, Indianapolis, IN 46204-1238 |
| Daniel Mark | Physical Therapy | Advanced Physical Therapy LLC | 433 N Capital Ave, 102 Ati Physical Therapy of Indiana, Indianapolis, IN 46204-1238 |
| Kirk Holston | Podiatry | The Health and Hospital Corporation of Marion County | 501 N E St, Eskenazi Health Center Barton Annex, Indianapolis, IN 46204-1632 |
| Tiffany Massela | Optometry | Jeffrey L Morer Od PC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Julie B Ramolia | Optometry | Jeffrey L Morer Od PC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Kyle M Hamblen | Podiatry | Hdc Podiatry LLC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Geoffrey Kline | Podiatry | Hdc Podiatry LLC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Hazim Ibrahim | Podiatry | Hdc Podiatry LLC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Patrick Frencl | Podiatry | Hdc Podiatry LLC | 201 N Illinois St, 16th Floor South Tower, Indianapolis, IN 46204-1904 |
| Find all physicians in zip 46204 | |||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
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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.