Mark A Haggenjos (NPI# 1619935475, PAC ID# 9739128885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619935475 |
| PAC ID by PECOS | 9739128885 |
| Professional Enrollment ID | I20050427001316 |
| Full Name | Mark A Haggenjos |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Address |
410 Pilgrim Blvd Hartford City IN 47348-1382 |
| Phone Number | 7653480300 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, HOSPITALIST |
| Group Practice PAC ID | 9537072640 |
| Number of Group Practice Members | 258 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151320 | JAY COUNTY HOSPITAL |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 410 Pilgrim Blvd, Hartford City, IN 47348-1382 | 7653480300 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| 500 W Votaw St, Portland, IN 47371-1322 | 2607267131 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber D Petty | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 2525 W University Ave, Muncie, IN 47303-3421 |
| Kyra Dawn Kempher | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Cassandra Louise Alexander | Clinical Social Worker | Indiana University Health Ball Memorial Physicians Inc | 1758 W 100, Portland, IN 47371-8204 |
| Aisha N Davis | Hospitalist | Indiana University Health Ball Memorial Physicians Inc | 2401 W University Ave, Muncie, IN 47303-3428 |
| Joseph Francis Vormohr | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 430 W Votaw St, Portland, IN 47371-1302 |
| Vallikantha Nellaiappan | Endocrinology | Indiana University Health Ball Memorial Physicians Inc | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 |
| Christina Andrew | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 5501 W Bethel Ave, Muncie, IN 47304-8513 |
| Maria E Faget | Obstetrics/gynecology | Indiana University Health Ball Memorial Physicians Inc | 210 N Tillotson Ave, Muncie, IN 47304-3988 |
| Claudia B Sursa | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 349 W 1st St, Albany, IN 47320-1705 |
| Pamela L Wright | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 800 S Tillotson Ave, Muncie, IN 47304-4529 |
| Street Address |
410 PILGRIM BLVD |
| City | HARTFORD CITY |
| State | IN |
| Zip | 47348-1382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Frizzell | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Kentry S Adams | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Chantel S Willmann | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Enrique F Molina | Certified Registered Nurse Anesthetist (crna) | Mission Nursing Anesthesia, Inc. | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Donald W Hunsberger | Anesthesiology | 410 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meleah R Robertson | Chiropractic | Clear Chiropractic Indiana, LLC | 1501 N Walnut St, Hartford City, IN 47348-1343 |
| Oakland Gaerke | Chiropractic | Clear Chiropractic Indiana, LLC | 1501 N Walnut St, Hartford City, IN 47348-1343 |
| Kyra Dawn Kempher | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Jennifer L Clamme | Internal Medicine | 124 N Jefferson St, Hartford City, IN 47348-2201 | |
| Brandy Raeann Smith | Physician Assistant | Reliant Healthcare LLC | 124 N Jefferson St, Hartford City, IN 47348-2201 |
| Craig A Ford | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| Richard Windsor | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| Laura Windsor | Optometry | Eye Associates Group, LLC | 315 Huggins Dr, Hartford City, IN 47348-8999 |
| City | HARTFORD CITY |
| Zip Code | 47348 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HARTFORD CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark A Haggenjos.
| 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.