Dr John Massimilian, DO | |
1201 S Main St, Dept: Ed, Crown Point, IN 46307-8481 | |
(219) 757-6310 | |
(219) 757-6312 |
Full Name | Dr John Massimilian |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1201 S Main St, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598721508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02001829A (Indiana) | Primary |
207P00000X | Emergency Medicine | (Illinois) | Secondary |
Entity Name | Valley West Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316002520 PECOS PAC ID: 6507769957 Enrollment ID: O20040202000065 |
Entity Name | Valley West Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184705931 PECOS PAC ID: 6507769957 Enrollment ID: O20070515000333 |
Entity Name | Kyte River Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063751188 PECOS PAC ID: 9234378563 Enrollment ID: O20130618000528 |
Mailing Address | Practice Location Address |
---|---|
Dr John Massimilian, DO 211 Devon Dr, Burr Ridge, IL 60527-8309 Ph: (630) 655-1055 | Dr John Massimilian, DO 1201 S Main St, Dept: Ed, Crown Point, IN 46307-8481 Ph: (219) 757-6310 |
Carl L Metcalf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Emergency Department, Crown Point, IN 46307 Phone: 219-757-6310 Fax: 219-757-6312 | |
Dr. Anum Shahab, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 | |
Michael Francis Todd, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Emergency Department, Crown Point, IN 46307 Phone: 219-757-6310 Fax: 219-757-6312 | |
Scott Kanagy, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St, Dept: Ed, Crown Point, IN 46307 Phone: 219-757-6310 Fax: 219-757-6312 | |
Dr. Guy Bruce Waldo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5521 W Lincoln Hwy, Ste 1a, Crown Point, IN 46307 Phone: 219-769-8284 | |
Dr. Ryan Kilpatrick Misek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-757-6310 | |
Dr. James Leonard, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Dept: Ed, Crown Point, IN 46307 Phone: 219-757-6310 Fax: 219-757-6312 |