Midwest Fertility Specialists | |
11405 Pennsylvania St Ste 260 & 260b Carmel IN 46032-7440 | |
(317) 334-5718 | |
Not Available |
Full Name | Midwest Fertility Specialists |
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Speciality | Obstetrics & Gynecology |
Location | 11405 Pennsylvania St Ste 260 & 260b, Carmel, Indiana |
Authorized Official Name and Position | Michelle E Jared (DIRECTOR RCM INTEGRATIONS) |
Authorized Official Contact | 7632762190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Fertility Specialists Po Box 772437 Detroit MI 48277-2437 Ph: (317) 575-7304 | Midwest Fertility Specialists 11405 Pennsylvania St Ste 260 & 260b Carmel IN 46032-7440 Ph: (317) 334-5718 |
NPI Number | 1396350187 |
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Provider Enumeration Date | 09/09/2020 |
Last Update Date | 10/17/2024 |
Certification Date | 10/17/2024 |
Medicare PECOS PAC ID | 0749188142 |
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Medicare Enrollment ID | O20201207001080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396350187 | NPI | - | NPPES |
Provider Name | Scott S Bowers |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609866763 PECOS PAC ID: 5991619272 Enrollment ID: I20031210000491 |
Provider Name | Veronica J Smidt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497745566 PECOS PAC ID: 3072427350 Enrollment ID: I20031210000698 |
Provider Name | Jeanette E Mcdonald |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417947581 PECOS PAC ID: 0446164727 Enrollment ID: I20031210000797 |
Provider Name | Cynthia Carol Benedict |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1225138704 PECOS PAC ID: 4688569874 Enrollment ID: I20040217000664 |
Provider Name | Donald I Smith |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1114020567 PECOS PAC ID: 6002701216 Enrollment ID: I20040217000772 |
Provider Name | Boniface Valentine Ndah |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1689777021 PECOS PAC ID: 2365490497 Enrollment ID: I20050105000946 |
Provider Name | Michael L Boothe |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558357079 PECOS PAC ID: 2769439496 Enrollment ID: I20050405001039 |
Provider Name | Adrienne M Hoagland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194804302 PECOS PAC ID: 0648210203 Enrollment ID: I20050503001374 |
Provider Name | Kesha R Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205094000 PECOS PAC ID: 0446280903 Enrollment ID: I20050816000183 |
Provider Name | Tara Helene Debikey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053372839 PECOS PAC ID: 2264452051 Enrollment ID: I20051122000608 |
Provider Name | Charles Angelo Salazar |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184644692 PECOS PAC ID: 9830103696 Enrollment ID: I20060131000847 |
Provider Name | Thomas C Wisler |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437140449 PECOS PAC ID: 6800805581 Enrollment ID: I20060406000645 |
Provider Name | Michelle Lynn Neff |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386692028 PECOS PAC ID: 5395758338 Enrollment ID: I20060717000251 |
Provider Name | Deborah A Ronco |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043269830 PECOS PAC ID: 5597778324 Enrollment ID: I20060724000025 |
Provider Name | Rebecca A Arora |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1861419525 PECOS PAC ID: 4880691005 Enrollment ID: I20061101000302 |
Provider Name | Carol C Eisenhut |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1982704466 PECOS PAC ID: 7517950694 Enrollment ID: I20070302000073 |
Provider Name | Jennie S Kho Duffin |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1093818445 PECOS PAC ID: 2567564966 Enrollment ID: I20070302000132 |
Provider Name | Richard W Gates |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306812078 PECOS PAC ID: 8325144934 Enrollment ID: I20070427000330 |
Provider Name | Angela D Stevens |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093781460 PECOS PAC ID: 2567568132 Enrollment ID: I20070430000032 |
Provider Name | Kristine J Bolin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407846637 PECOS PAC ID: 7719083294 Enrollment ID: I20070430000155 |
Provider Name | Maret R Cline |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457341521 PECOS PAC ID: 2163528662 Enrollment ID: I20070430000358 |
Provider Name | Deborah J Delrosario |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316929847 PECOS PAC ID: 1254437650 Enrollment ID: I20070501000578 |
Provider Name | Brandy M Hughes |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497972665 PECOS PAC ID: 3274631429 Enrollment ID: I20070612000146 |
Provider Name | Kelly N Fawcett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417155656 PECOS PAC ID: 8224129564 Enrollment ID: I20070801000328 |
Provider Name | Amy L Steffey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568660421 PECOS PAC ID: 8426148479 Enrollment ID: I20071214000360 |
Provider Name | Jeffrey Allen Hatcher |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437128220 PECOS PAC ID: 7810070042 Enrollment ID: I20080212000320 |
Provider Name | Cynthia K Seffernick |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1568455491 PECOS PAC ID: 6901881721 Enrollment ID: I20090112000320 |
Provider Name | Scott C Boyd |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386639565 PECOS PAC ID: 8729145974 Enrollment ID: I20090316000588 |
Provider Name | Thomas J Lorenc |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518935048 PECOS PAC ID: 2365509510 Enrollment ID: I20090317000195 |
Provider Name | Kathryn A Garner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841280567 PECOS PAC ID: 4880684612 Enrollment ID: I20090407000447 |
Provider Name | Jamie M Boyce |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508078924 PECOS PAC ID: 9335264647 Enrollment ID: I20100909001078 |
Provider Name | Tobi M Hough |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174559736 PECOS PAC ID: 8426173329 Enrollment ID: I20100915001153 |
Provider Name | Virginia A Takagi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063673358 PECOS PAC ID: 7810183761 Enrollment ID: I20101118000398 |
Provider Name | Jonathan B Lupton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013903541 PECOS PAC ID: 5991697625 Enrollment ID: I20110126001037 |
Provider Name | James R Dunlop |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154317675 PECOS PAC ID: 4486833142 Enrollment ID: I20110126001140 |
Provider Name | Bryan K Perkins |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346236551 PECOS PAC ID: 0547152274 Enrollment ID: I20110215001179 |
Provider Name | John T Cleary |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942340799 PECOS PAC ID: 0840471926 Enrollment ID: I20110222001179 |
Provider Name | Hilary Gaudreau |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194865956 PECOS PAC ID: 0941482764 Enrollment ID: I20110315000458 |
Provider Name | Elizabeth A Nowacki |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598931149 PECOS PAC ID: 0345419693 Enrollment ID: I20110803000472 |
Provider Name | Francis P Esguerra |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790949477 PECOS PAC ID: 5193989549 Enrollment ID: I20120614000375 |
Provider Name | Maria E Faget |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1932307527 PECOS PAC ID: 6608011465 Enrollment ID: I20130326000633 |
Provider Name | Brent Atwood Suozzi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093966269 PECOS PAC ID: 5294867677 Enrollment ID: I20130909000113 |
Provider Name | Elizabeth S Cottongim |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053541169 PECOS PAC ID: 5698926632 Enrollment ID: I20130918000692 |
Provider Name | Susan D Logsdon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578645958 PECOS PAC ID: 5991021768 Enrollment ID: I20150313001894 |
Provider Name | Margaret Essex Castor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275960585 PECOS PAC ID: 3577880954 Enrollment ID: I20150324000492 |
Provider Name | Jennifer N Tinder |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245539600 PECOS PAC ID: 6901118314 Enrollment ID: I20150626001149 |
Provider Name | Courtney Burrus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336515428 PECOS PAC ID: 2769785625 Enrollment ID: I20160127000574 |
Provider Name | Vicky E Sherman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164443594 PECOS PAC ID: 2668368226 Enrollment ID: I20160210001427 |
Provider Name | Alyssa A Barr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629438155 PECOS PAC ID: 8921390196 Enrollment ID: I20160708000099 |
Provider Name | Stephanie R Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194177022 PECOS PAC ID: 0244527661 Enrollment ID: I20160928000576 |
Provider Name | Kara Morton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639524234 PECOS PAC ID: 4082985064 Enrollment ID: I20170809003122 |
Provider Name | Tienne K Randolph |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760820831 PECOS PAC ID: 5294979597 Enrollment ID: I20170829000267 |
Provider Name | Brittany Johnson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1558708032 PECOS PAC ID: 4486898780 Enrollment ID: I20170907000140 |
Provider Name | Sonya J Lagassie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043750771 PECOS PAC ID: 3375801392 Enrollment ID: I20171221001228 |
Provider Name | Nizar Fayez Olabi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1023004504 PECOS PAC ID: 3274529409 Enrollment ID: I20180103000320 |
Provider Name | Hannah Rebekah Thornton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154839439 PECOS PAC ID: 4385905959 Enrollment ID: I20180221002771 |
Provider Name | Kailey A Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902399538 PECOS PAC ID: 6305194200 Enrollment ID: I20180809001160 |
Provider Name | Lara M Naanouh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598244725 PECOS PAC ID: 8820340110 Enrollment ID: I20181015003528 |
Provider Name | Amber Michelle Wittke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467935908 PECOS PAC ID: 8325384829 Enrollment ID: I20190103002036 |
Provider Name | Nicole O'neill Sonn |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487996500 PECOS PAC ID: 3870895873 Enrollment ID: I20190625002241 |
Provider Name | Christian C Dawes |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548619596 PECOS PAC ID: 5890117972 Enrollment ID: I20200618000188 |
Provider Name | Kelley Robrock |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497118251 PECOS PAC ID: 6406148899 Enrollment ID: I20200812001747 |
Provider Name | George Theodore Talbot |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669470126 PECOS PAC ID: 1850325945 Enrollment ID: I20210315001412 |
Provider Name | Kenneth H. Fox |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164439873 PECOS PAC ID: 8224154141 Enrollment ID: I20210712000414 |
Provider Name | Meredith N Bellamy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386039741 PECOS PAC ID: 3971800434 Enrollment ID: I20210712004069 |
Provider Name | Christina Harris |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639690266 PECOS PAC ID: 6305117300 Enrollment ID: I20210804001828 |
Provider Name | Zandra S Nocera |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255439485 PECOS PAC ID: 1557388204 Enrollment ID: I20210804002708 |
Provider Name | Madeleine J St. James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922612530 PECOS PAC ID: 7719383918 Enrollment ID: I20210914002593 |
Provider Name | Taylor Schub |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023638244 PECOS PAC ID: 1355739574 Enrollment ID: I20211020002648 |
Provider Name | Lauren Nicole Thornton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720662158 PECOS PAC ID: 0143612333 Enrollment ID: I20220120001597 |
Provider Name | Rebecca Ann Crompton |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1336767490 PECOS PAC ID: 0941694194 Enrollment ID: I20220303002057 |
Provider Name | Naomi R Vestel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942759170 PECOS PAC ID: 1355620964 Enrollment ID: I20220323002009 |
Provider Name | Kathern Ranea Routier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346990579 PECOS PAC ID: 5890182711 Enrollment ID: I20220425000615 |
Provider Name | Samantha Jean Osteen |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245735117 PECOS PAC ID: 9638424682 Enrollment ID: I20220512001293 |
Provider Name | Caroline Mecker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073073565 PECOS PAC ID: 9830424514 Enrollment ID: I20230508002698 |
Provider Name | Susan Holley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508986407 PECOS PAC ID: 4082764022 Enrollment ID: I20230911004136 |
Provider Name | George Spencer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184604068 PECOS PAC ID: 3870507114 Enrollment ID: I20230919000728 |
Provider Name | Ashlee Denise Carter |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1336835172 PECOS PAC ID: 7315391398 Enrollment ID: I20230925002220 |
Provider Name | Tonya S Fenzl |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1659703064 PECOS PAC ID: 7315172715 Enrollment ID: I20231107000731 |
Provider Name | Kellie Sheets |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700667177 PECOS PAC ID: 1153771647 Enrollment ID: I20231226000521 |
Provider Name | Aeja Alexandra Key |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700650785 PECOS PAC ID: 2567805526 Enrollment ID: I20240206003985 |
Provider Name | Rachel Leigh Christie Hakemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518720432 PECOS PAC ID: 1557700242 Enrollment ID: I20240415000611 |
Provider Name | Richard A Latta |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528069861 PECOS PAC ID: 1254460314 Enrollment ID: I20240503001518 |
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