| Schneck Medical Center | |
|
411 W Tipton St Seymour IN 47274-2363 | |
| (812) 522-2349 | |
| (812) 522-0792 |
| Full Name | Schneck Medical Center |
|---|---|
| Speciality | Anesthesiology |
| Location | 411 W Tipton St, Seymour, Indiana |
| Authorized Official Name and Position | Deborah Mann (VP FINANCE AND CFO/TREASURER) |
| Authorized Official Contact | 8125222349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schneck Medical Center 411 W Tipton St Seymour IN 47274-2363 Ph: (812) 522-2349 | Schneck Medical Center 411 W Tipton St Seymour IN 47274-2363 Ph: (812) 522-2349 |
| NPI Number | 1629143037 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 05/02/2017 |
| Medicare PECOS PAC ID | 8224004585 |
|---|---|
| Medicare Enrollment ID | O20041029000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629143037 | NPI | - | NPPES |
| 381039V | Other | IN | SIHO PROVIDER NUMBER |
| Provider Name | John L Fye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053756 PECOS PAC ID: 7810893039 Enrollment ID: I20031209000788 |
| Provider Name | Terri Jo Agan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659335974 PECOS PAC ID: 3274518493 Enrollment ID: I20040622000929 |
| Provider Name | Steven H Windley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043328784 PECOS PAC ID: 8123092186 Enrollment ID: I20040825000014 |
| Provider Name | Dolores C Olivarez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386661478 PECOS PAC ID: 7113989468 Enrollment ID: I20041029000597 |
| Provider Name | Eric D Fish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831121599 PECOS PAC ID: 5991767246 Enrollment ID: I20041029000622 |
| Provider Name | Joyce A Spurgeon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043282197 PECOS PAC ID: 4385699032 Enrollment ID: I20050316000335 |
| Provider Name | Trevor M Soergel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649267725 PECOS PAC ID: 8628018801 Enrollment ID: I20050516000613 |
| Provider Name | Lynnette Caudill Wickliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811982143 PECOS PAC ID: 0840215026 Enrollment ID: I20051006000611 |
| Provider Name | David J Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104882711 PECOS PAC ID: 5294797460 Enrollment ID: I20051104000523 |
| Provider Name | Dennis Nelson Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871697052 PECOS PAC ID: 3971518457 Enrollment ID: I20060222000201 |
| Provider Name | David R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093779316 PECOS PAC ID: 4789691833 Enrollment ID: I20060314000521 |
| Provider Name | Matthew D Peterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538284567 PECOS PAC ID: 2264539717 Enrollment ID: I20070518000142 |
| Provider Name | Lesley M Kendall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265518104 PECOS PAC ID: 7214036805 Enrollment ID: I20070622000122 |
| Provider Name | Jill R Whitaker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346326915 PECOS PAC ID: 9931208535 Enrollment ID: I20070622000141 |
| Provider Name | Donna P Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780877589 PECOS PAC ID: 1254428899 Enrollment ID: I20071030000383 |
| Provider Name | Bradley S Morin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013111376 PECOS PAC ID: 5991893208 Enrollment ID: I20071121000053 |
| Provider Name | Amy L Steffey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568660421 PECOS PAC ID: 8426148479 Enrollment ID: I20071214000360 |
| Provider Name | Grant J Olsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750590550 PECOS PAC ID: 9335220532 Enrollment ID: I20080114000562 |
| Provider Name | Cathy R Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134316425 PECOS PAC ID: 1850473661 Enrollment ID: I20080201000354 |
| Provider Name | Teresa A Oldham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841335874 PECOS PAC ID: 1951470202 Enrollment ID: I20080513000493 |
| Provider Name | Charles Jeffery Goodwin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710001607 PECOS PAC ID: 5890866370 Enrollment ID: I20080722000415 |
| Provider Name | Thomas Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053421511 PECOS PAC ID: 9739240458 Enrollment ID: I20081212000232 |
| Provider Name | Naveed Chowhan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164440962 PECOS PAC ID: 1052201498 Enrollment ID: I20090513000172 |
| Provider Name | David H Rosenbaum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568596195 PECOS PAC ID: 6800946187 Enrollment ID: I20090617000752 |
| Provider Name | Kristopher Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093919318 PECOS PAC ID: 5092815498 Enrollment ID: I20090814000577 |
| Provider Name | Samuel J Steffey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073772463 PECOS PAC ID: 0648325175 Enrollment ID: I20090903000753 |
| Provider Name | Nicholas R Lemming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427033562 PECOS PAC ID: 9638239346 Enrollment ID: I20090921000565 |
| Provider Name | John Sacco |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336133685 PECOS PAC ID: 7214849686 Enrollment ID: I20100128000129 |
| Provider Name | Judith A Rumschlag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861581761 PECOS PAC ID: 6103960992 Enrollment ID: I20100217000307 |
| Provider Name | Charity Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598094252 PECOS PAC ID: 7315074176 Enrollment ID: I20100427000639 |
| Provider Name | Pamela H Snook-tidd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063495745 PECOS PAC ID: 0749340453 Enrollment ID: I20100601000585 |
| Provider Name | Christopher P Bunce |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053350405 PECOS PAC ID: 8628050457 Enrollment ID: I20100717000254 |
| Provider Name | Adam J Jablonski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326219742 PECOS PAC ID: 5991837148 Enrollment ID: I20100723000157 |
| Provider Name | Andrew E Dick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376631184 PECOS PAC ID: 9436200334 Enrollment ID: I20100802000951 |
| Provider Name | Aaron Becker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053575365 PECOS PAC ID: 0749311066 Enrollment ID: I20100806000290 |
| Provider Name | David S Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770592727 PECOS PAC ID: 6800999830 Enrollment ID: I20100907000826 |
| Provider Name | Amanda Marie Dick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417037938 PECOS PAC ID: 9234254111 Enrollment ID: I20100915000911 |
| Provider Name | Neil S Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841204468 PECOS PAC ID: 4385642164 Enrollment ID: I20100916000759 |
| Provider Name | Terrance L. Blackford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588750509 PECOS PAC ID: 2961391149 Enrollment ID: I20101006000968 |
| Provider Name | Jeffrey E Schulz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659391209 PECOS PAC ID: 3274726096 Enrollment ID: I20101025000525 |
| Provider Name | Richard N Medley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578550638 PECOS PAC ID: 4385619345 Enrollment ID: I20101030000262 |
| Provider Name | Bradley B Bell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942297007 PECOS PAC ID: 1557336658 Enrollment ID: I20101030000272 |
| Provider Name | Melanie A Mcglothlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497075667 PECOS PAC ID: 4082801667 Enrollment ID: I20101208000697 |
| Provider Name | Ganesh S Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104813161 PECOS PAC ID: 9335114313 Enrollment ID: I20110331000916 |
| Provider Name | Robert Barriger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740448240 PECOS PAC ID: 0547454159 Enrollment ID: I20120312000361 |
| Provider Name | Gerald B Millick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477874584 PECOS PAC ID: 4981866720 Enrollment ID: I20120424000497 |
| Provider Name | Jason B Woods |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801024195 PECOS PAC ID: 9830351873 Enrollment ID: I20120508000608 |
| Provider Name | Jonathan A Light |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467619619 PECOS PAC ID: 3577728708 Enrollment ID: I20120713000026 |
| Provider Name | Elton R Chambers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619172731 PECOS PAC ID: 0345419115 Enrollment ID: I20120725000796 |
| Provider Name | Shannon Lea Bedja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750632949 PECOS PAC ID: 4789833872 Enrollment ID: I20121004000776 |
| Provider Name | Sherry D Beal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356544985 PECOS PAC ID: 9436303906 Enrollment ID: I20130208000417 |
| Provider Name | Rhonda Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013228360 PECOS PAC ID: 1850530882 Enrollment ID: I20130622000111 |
| Provider Name | Aaron W Banister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649616962 PECOS PAC ID: 9739320425 Enrollment ID: I20130723000172 |
| Provider Name | Kristen Nicole Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069867 PECOS PAC ID: 7618117219 Enrollment ID: I20130926000355 |
| Provider Name | Jill M Mikles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144475666 PECOS PAC ID: 9638304637 Enrollment ID: I20131029001053 |
| Provider Name | Matthew A Meyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629204383 PECOS PAC ID: 3375789191 Enrollment ID: I20140103001541 |
| Provider Name | Kellie A Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144481466 PECOS PAC ID: 7214190529 Enrollment ID: I20140624002347 |
| Provider Name | Kirby Stacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841606951 PECOS PAC ID: 8426275249 Enrollment ID: I20140818002488 |
| Provider Name | Kristen C Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366709123 PECOS PAC ID: 5597920074 Enrollment ID: I20141001000106 |
| Provider Name | Jennifer L Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467863373 PECOS PAC ID: 4688894793 Enrollment ID: I20141013000104 |
| Provider Name | Velvet M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265843585 PECOS PAC ID: 6800017773 Enrollment ID: I20141016002723 |
| Provider Name | Judith A Tape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982935235 PECOS PAC ID: 1456674183 Enrollment ID: I20150102001037 |
| Provider Name | David Ryan Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750670733 PECOS PAC ID: 8921312299 Enrollment ID: I20150730011816 |
| Provider Name | Martha J Shirley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827275 PECOS PAC ID: 1759526973 Enrollment ID: I20150814013429 |
| Provider Name | Tara L Pearcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952897 PECOS PAC ID: 0941500557 Enrollment ID: I20151204000267 |
| Provider Name | Justin N Rasner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245461417 PECOS PAC ID: 0446493449 Enrollment ID: I20151218000658 |
| Provider Name | Melissa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396115812 PECOS PAC ID: 1153622923 Enrollment ID: I20151221001311 |
| Provider Name | Elizabeth J Tape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275905986 PECOS PAC ID: 5991006462 Enrollment ID: I20151229001651 |
| Provider Name | Marion M Huff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205156569 PECOS PAC ID: 0042407116 Enrollment ID: I20160512001494 |
| Provider Name | Amanda M Souza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295095636 PECOS PAC ID: 9739472382 Enrollment ID: I20160720001325 |
| Provider Name | Ganesh K Kartha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861718553 PECOS PAC ID: 1052613379 Enrollment ID: I20160721002183 |
| Provider Name | Susan D Schnitker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508236209 PECOS PAC ID: 7719274711 Enrollment ID: I20160919001975 |
| Provider Name | Sarah E Whipker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699225805 PECOS PAC ID: 7810275294 Enrollment ID: I20161107000992 |
| Provider Name | Ross W Cotton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144271644 PECOS PAC ID: 0941272538 Enrollment ID: I20161202000166 |
| Provider Name | Amanda I Harritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576457 PECOS PAC ID: 3274818851 Enrollment ID: I20170322000589 |
| Provider Name | Michael A Samuel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588658207 PECOS PAC ID: 3870768500 Enrollment ID: I20170417000891 |
| Provider Name | Aaron D Frey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275913378 PECOS PAC ID: 7113239542 Enrollment ID: I20170726004077 |
| Provider Name | Rachel A Walter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679918544 PECOS PAC ID: 4183918022 Enrollment ID: I20170802001592 |
| Provider Name | Paul K Gerth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417908799 PECOS PAC ID: 9830188598 Enrollment ID: I20171214003025 |
| Provider Name | Jenna A Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326467523 PECOS PAC ID: 1759644008 Enrollment ID: I20180419000236 |
| Provider Name | Joseph Edward Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104236561 PECOS PAC ID: 1153545058 Enrollment ID: I20180524002350 |
| Provider Name | Joyce R Iwema |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790121747 PECOS PAC ID: 6103117429 Enrollment ID: I20180719000843 |
| Provider Name | Cassie Hackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750886966 PECOS PAC ID: 8820345861 Enrollment ID: I20180720002451 |
| Provider Name | Beth A Vondielingen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922588086 PECOS PAC ID: 9133472665 Enrollment ID: I20181030001081 |
| Provider Name | Elizabeth A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255845111 PECOS PAC ID: 1254693047 Enrollment ID: I20190131000954 |
| Provider Name | Alecia A Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427594696 PECOS PAC ID: 1456699966 Enrollment ID: I20190207002274 |
| Provider Name | Matthew R Stanfield |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821060229 PECOS PAC ID: 9739100231 Enrollment ID: I20190301000252 |
| Provider Name | Jonathan Lewis Witten |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851617732 PECOS PAC ID: 3678728342 Enrollment ID: I20190727000301 |
| Provider Name | Rebecca Rose-cilluffo Hennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669828737 PECOS PAC ID: 3476889114 Enrollment ID: I20190801002364 |
| Provider Name | Ryan Smith Hennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891141974 PECOS PAC ID: 7810224516 Enrollment ID: I20190802001450 |
| Provider Name | Wendy A Goldstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164885828 PECOS PAC ID: 8325339930 Enrollment ID: I20190819000955 |
| Provider Name | Jami L Vondielingen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255972006 PECOS PAC ID: 6002248465 Enrollment ID: I20191123000123 |
| Provider Name | Jordan C Maryfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144601378 PECOS PAC ID: 0547574451 Enrollment ID: I20200507001945 |
| Provider Name | Jacob Dean Wiegand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669006466 PECOS PAC ID: 1456772003 Enrollment ID: I20200605002308 |
| Provider Name | Samuel C Borcherding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366971442 PECOS PAC ID: 0840569869 Enrollment ID: I20200624000970 |
| Provider Name | Lisa Marie Snow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922349596 PECOS PAC ID: 5193032415 Enrollment ID: I20200707000852 |
| Provider Name | Christopher F Spalding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710349949 PECOS PAC ID: 9436441540 Enrollment ID: I20200707000997 |
| Provider Name | Matthew C Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174839054 PECOS PAC ID: 8123357795 Enrollment ID: I20200710000950 |
| Provider Name | Amanda J Kile |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255726295 PECOS PAC ID: 5799098166 Enrollment ID: I20200729002662 |
| Provider Name | Sherry Mae Arbuckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568077576 PECOS PAC ID: 0749691855 Enrollment ID: I20201120002209 |
| Provider Name | Lucas A Acton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222465 PECOS PAC ID: 4789096140 Enrollment ID: I20201209002061 |
| Provider Name | Erin Lynn Rammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447865498 PECOS PAC ID: 2567875180 Enrollment ID: I20201228001838 |
| Provider Name | Cynthia Louise Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700477288 PECOS PAC ID: 9436567435 Enrollment ID: I20210412001509 |
| Provider Name | Kristin Renee Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518463488 PECOS PAC ID: 1658774930 Enrollment ID: I20210723001745 |
| Provider Name | Darcy L Marr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316437890 PECOS PAC ID: 4183960099 Enrollment ID: I20210723002162 |
| Provider Name | Courtney M Savilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144741893 PECOS PAC ID: 1951705474 Enrollment ID: I20210805002046 |
| Provider Name | Rachel Elaine Hoevener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794565 PECOS PAC ID: 1850789611 Enrollment ID: I20211027001875 |
| Provider Name | Kimberly A Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407333446 PECOS PAC ID: 2961753983 Enrollment ID: I20220121001067 |
| Provider Name | Stephanie L Grunden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841958543 PECOS PAC ID: 6608261037 Enrollment ID: I20220321001983 |
| Provider Name | Teresa Kay Guernsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619629029 PECOS PAC ID: 9335536028 Enrollment ID: I20220427002622 |
| Provider Name | Hunter P Nolen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619404936 PECOS PAC ID: 8426437534 Enrollment ID: I20220621001547 |
| Provider Name | Victoria Louise Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376298331 PECOS PAC ID: 0941689970 Enrollment ID: I20220622002768 |
| Provider Name | Stephanie Leanne Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679035430 PECOS PAC ID: 2365776671 Enrollment ID: I20220623002114 |
| Provider Name | Guy P Cooper |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578096004 PECOS PAC ID: 9537439906 Enrollment ID: I20220624000266 |
| Provider Name | Susan M Maurer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659711521 PECOS PAC ID: 6305088121 Enrollment ID: I20220705002448 |
| Provider Name | Brandon T Kellinghaus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508359944 PECOS PAC ID: 6709131410 Enrollment ID: I20220714003557 |
| Provider Name | Melissa S Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366174203 PECOS PAC ID: 7810378627 Enrollment ID: I20220725001815 |
| Provider Name | Emilee J Survance |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1619406089 PECOS PAC ID: 1850669516 Enrollment ID: I20220913003259 |
| Provider Name | Rebecca J Darlage |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285353227 PECOS PAC ID: 4486039724 Enrollment ID: I20220922001190 |
| Provider Name | Kaila Lynn Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831811678 PECOS PAC ID: 6406232594 Enrollment ID: I20220927001506 |
| Provider Name | Desha L Secrest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619906385 PECOS PAC ID: 5496758724 Enrollment ID: I20221107000692 |
| Provider Name | Andrea Marie Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205546959 PECOS PAC ID: 9537533450 Enrollment ID: I20230316000435 |
| Provider Name | Antonio D. Spates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790281095 PECOS PAC ID: 3072971332 Enrollment ID: I20230617000185 |
| Provider Name | Thomas A Beck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780726083 PECOS PAC ID: 1951295591 Enrollment ID: I20230620002543 |
| Provider Name | Evan R Aldridge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396374773 PECOS PAC ID: 5193148336 Enrollment ID: I20230629001673 |
| Provider Name | Micah A Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013577121 PECOS PAC ID: 6204166408 Enrollment ID: I20230629002747 |
| Provider Name | Taylor Nicole Ulrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477234177 PECOS PAC ID: 0143675561 Enrollment ID: I20231004003331 |
| Provider Name | Kaitlin A Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356708861 PECOS PAC ID: 5698124667 Enrollment ID: I20231215002342 |
Quinco Behavioral Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1216 Hillcrest Drive, Seymour, IN 47274 Phone: 812-526-8184 Fax: 812-522-5183 | |
Quinco Behavioral Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1443 Corporate Way, Seymour, IN 47274 Phone: 812-522-4341 Fax: 812-522-7910 | |
Sustaining Grace Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 312 S Us Highway 31, Seymour, IN 47274 Phone: 812-807-1579 | |
Staats Education Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Taggart Dr, Seymour, IN 47274 Phone: 812-521-6950 Fax: 812-523-2161 | |
Concordia Counseling: A Lutheran Outreach Ministry, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Walnut St, Seymour, IN 47274 Phone: 812-671-8704 | |
New Beginnings Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 2nd St Ste 203, Seymour, IN 47274 Phone: 812-271-2300 Fax: 812-271-1810 | |
Quinco Behavioral Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Marley Ln, Seymour, IN 47274 Phone: 812-523-8324 Fax: 812-378-8367 |