Altea Medical Indiana Pc | |
2350 W Taft St Gary IN 46404 | |
(775) 287-3290 | |
Not Available |
Full Name | Altea Medical Indiana Pc |
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Speciality | Internal Medicine |
Location | 2350 W Taft St, Gary, Indiana |
Authorized Official Name and Position | Mary Belen Arndt (DIRECTOR OF BILLING) |
Authorized Official Contact | 7752873290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Altea Medical Indiana Pc 2219 Rimland Dr Ste 301 Bellingham WA 98226-8759 Ph: (604) 367-5115 | Altea Medical Indiana Pc 2350 W Taft St Gary IN 46404 Ph: (775) 287-3290 |
NPI Number | 1992584783 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 05/10/2024 |
Medicare PECOS PAC ID | 4183064389 |
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Medicare Enrollment ID | O20240506001301 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992584783 | NPI | - | NPPES |
Provider Name | Leo M Solito |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780625731 PECOS PAC ID: 0143263798 Enrollment ID: I20050606000521 |
Provider Name | Marne J Juestel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245274935 PECOS PAC ID: 2365544079 Enrollment ID: I20070227000636 |
Provider Name | Timothy P Walbridge |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386609071 PECOS PAC ID: 6204832751 Enrollment ID: I20080402000104 |
Provider Name | Bryon W Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184615999 PECOS PAC ID: 5991831091 Enrollment ID: I20100329000186 |
Provider Name | Patrice Yates |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245229327 PECOS PAC ID: 3173659885 Enrollment ID: I20100406000535 |
Provider Name | Bridget A Witsken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083915581 PECOS PAC ID: 8628250370 Enrollment ID: I20110316000902 |
Provider Name | Kristin A Teter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437140381 PECOS PAC ID: 6901063932 Enrollment ID: I20120202000857 |
Provider Name | Jennifer C Maki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578802112 PECOS PAC ID: 7012154875 Enrollment ID: I20130515000104 |
Provider Name | Kam E Teeter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790044055 PECOS PAC ID: 1456592120 Enrollment ID: I20130723000049 |
Provider Name | Brenda A Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396151197 PECOS PAC ID: 3375760226 Enrollment ID: I20140816000094 |
Provider Name | Chijioke Kalu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326012162 PECOS PAC ID: 6103070859 Enrollment ID: I20150611001273 |
Provider Name | Sydney Jane Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144614710 PECOS PAC ID: 3577874387 Enrollment ID: I20150622000101 |
Provider Name | Thomas E Puckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346626876 PECOS PAC ID: 0143535252 Enrollment ID: I20150819007161 |
Provider Name | Monica Broo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609262294 PECOS PAC ID: 0941593586 Enrollment ID: I20160720000877 |
Provider Name | Kelli Joy Bovenkerk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285184481 PECOS PAC ID: 9739477399 Enrollment ID: I20161013001962 |
Provider Name | Erin O'donnell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427594142 PECOS PAC ID: 6002198090 Enrollment ID: I20170127000704 |
Provider Name | Lindsay M Jobe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124567326 PECOS PAC ID: 6406131390 Enrollment ID: I20170315001675 |
Provider Name | Ashley Nicole Asher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396273967 PECOS PAC ID: 1355610650 Enrollment ID: I20170629001800 |
Provider Name | Eileen R Dewire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659825115 PECOS PAC ID: 5092071183 Enrollment ID: I20171106001609 |
Provider Name | Abigail G Boris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114464575 PECOS PAC ID: 7810257177 Enrollment ID: I20180205002360 |
Provider Name | Erin Tofani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548776925 PECOS PAC ID: 8527328541 Enrollment ID: I20180212001089 |
Provider Name | Lorrie A White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679880876 PECOS PAC ID: 1456583806 Enrollment ID: I20180314001146 |
Provider Name | Anna M Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790261204 PECOS PAC ID: 2769732411 Enrollment ID: I20180830001658 |
Provider Name | Autumn Kathryn Montgomery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770065187 PECOS PAC ID: 0840535548 Enrollment ID: I20181228000815 |
Provider Name | Olufunke Elizabeth Owolabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700440823 PECOS PAC ID: 5698108264 Enrollment ID: I20191212001632 |
Provider Name | Annabel Marrufo Lackey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275186892 PECOS PAC ID: 3072941061 Enrollment ID: I20200325003411 |
Provider Name | Tatum Svarczkopf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295326858 PECOS PAC ID: 8729492913 Enrollment ID: I20210129000923 |
Provider Name | Erin Rachel Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538759733 PECOS PAC ID: 7719393255 Enrollment ID: I20210309001589 |
Provider Name | Jenna Starr Fleck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891211058 PECOS PAC ID: 5294099479 Enrollment ID: I20210630001200 |
Provider Name | Shaleena M Gates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700553906 PECOS PAC ID: 4082002589 Enrollment ID: I20211103001322 |
Provider Name | Kayla Rushing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073270161 PECOS PAC ID: 7810387990 Enrollment ID: I20211203000876 |
Provider Name | Angelique Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760152755 PECOS PAC ID: 3779974266 Enrollment ID: I20211216001386 |
Provider Name | Micahl Holloway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942957535 PECOS PAC ID: 3971982588 Enrollment ID: I20220628000266 |
Provider Name | Erin Rachel Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538759733 PECOS PAC ID: 7719393255 Enrollment ID: I20221026001613 |
Provider Name | Jennifer A Holcomb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700561495 PECOS PAC ID: 0446619274 Enrollment ID: I20230711002297 |
Provider Name | Ashley Marie Bigbee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245686971 PECOS PAC ID: 7012379886 Enrollment ID: I20230810000990 |
Provider Name | Saadia Shahnawaz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255771507 PECOS PAC ID: 2567741739 Enrollment ID: I20230927002455 |
Provider Name | Kimberly Napier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972107019 PECOS PAC ID: 7214303890 Enrollment ID: I20231014000615 |
Provider Name | Navdeep Dhaliwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477968337 PECOS PAC ID: 9830488071 Enrollment ID: I20240325001500 |
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