Dr David Andrew Southwick, DO | |
5969 S Ernest St, Terre Haute, IN 47802-8111 | |
(812) 238-4499 | |
(812) 238-4493 |
Full Name | Dr David Andrew Southwick |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 5969 S Ernest St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619966462 | NPI | - | NPPES |
100253000A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 02001402 (Indiana) | Primary |
Entity Name | Healogics Specialty Physicians Of Colorado-professional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114331006 PECOS PAC ID: 4183941834 Enrollment ID: O20150318000983 |
Mailing Address | Practice Location Address |
---|---|
Dr David Andrew Southwick, DO 1606 N 7th St, Terre Haute, IN 47804-2706 Ph: (812) 238-4499 | Dr David Andrew Southwick, DO 5969 S Ernest St, Terre Haute, IN 47802-8111 Ph: (812) 238-4499 |
Douglas Justin Mcguirk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 N 5th St, Terre Haute, IN 47804 Phone: 812-242-3005 Fax: 812-242-3054 | |
Custodio L. Lim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2235 Wabash Ave, Terre Haute, IN 47807 Phone: 812-234-5273 Fax: 812-232-4714 | |
Dr. Rebecca Elizabeth Lynch, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 Fax: 812-232-1409 | |
Alan Alejandro Reyes Cruz, MD Surgery Medicare: Medicare Enrolled Practice Location: 3903 S 7th St Ste 2f, Terre Haute, IN 47802 Phone: 812-234-5400 Fax: 812-234-5420 | |
Dr. Christopher A Lueking, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 Fax: 812-232-1409 | |
Timothy Diaz, DO Surgery Medicare: Medicare Enrolled Practice Location: 1818 N 6th St, Terre Haute, IN 47804 Phone: 812-232-1123 | |
Dr. Francis V. Tapia, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3311 S 7th St, Terre Haute, IN 47802 Phone: 812-242-9900 Fax: 812-242-9911 |