| Goshen Health System Inc | |
|
2004 Elkhart Rd Ste A Goshen IN 46526-1118 | |
| (574) 364-2611 | |
| (574) 364-2784 |
| Full Name | Goshen Health System Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2004 Elkhart Rd Ste A, Goshen, Indiana |
| Authorized Official Name and Position | Jonathan Yoder (VICE PRESIDENT) |
| Authorized Official Contact | 5743642610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Health System Inc Po Box 834 Goshen IN 46527-0834 Ph: (574) 364-2611 | Goshen Health System Inc 2004 Elkhart Rd Ste A Goshen IN 46526-1118 Ph: (574) 364-2611 |
| NPI Number | 1194772293 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4880598572 |
|---|---|
| Medicare Enrollment ID | O20031124000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194772293 | NPI | - | NPPES |
| 200528220 | Medicaid | IN | |
| 200154600 | Medicaid | IN | |
| 100114010 | Medicaid | IN | |
| 201388930 | Medicaid | IN |
| Provider Name | Lisa A Orn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033181508 PECOS PAC ID: 8325933302 Enrollment ID: I20040218000706 |
| Provider Name | Alfred James Schlorke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912979444 PECOS PAC ID: 2365337359 Enrollment ID: I20040218000739 |
| Provider Name | David L Coil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154391787 PECOS PAC ID: 6709771710 Enrollment ID: I20040218000843 |
| Provider Name | Ronald King Downs |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154328516 PECOS PAC ID: 6507840980 Enrollment ID: I20040614001655 |
| Provider Name | Laura J Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104898790 PECOS PAC ID: 9830173806 Enrollment ID: I20040616001114 |
| Provider Name | Edward W Boyts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750351086 PECOS PAC ID: 0143204859 Enrollment ID: I20040617001425 |
| Provider Name | Larry D Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942310818 PECOS PAC ID: 5799769410 Enrollment ID: I20040617001473 |
| Provider Name | David C Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586335 PECOS PAC ID: 9335123066 Enrollment ID: I20040617001541 |
| Provider Name | Max R Mertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902816895 PECOS PAC ID: 9335123074 Enrollment ID: I20040617001630 |
| Provider Name | Christina L Haimes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383661 PECOS PAC ID: 5698759330 Enrollment ID: I20040617001634 |
| Provider Name | Daniel J Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831166362 PECOS PAC ID: 2769466408 Enrollment ID: I20040617001653 |
| Provider Name | Keith C Barkow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891767372 PECOS PAC ID: 1759365406 Enrollment ID: I20040617001673 |
| Provider Name | Farid Jalinous |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093717282 PECOS PAC ID: 0840181400 Enrollment ID: I20041002000091 |
| Provider Name | Blair S Macphail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760440127 PECOS PAC ID: 2567421787 Enrollment ID: I20041005000095 |
| Provider Name | Neelamkumar Valjibhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568438638 PECOS PAC ID: 9032171699 Enrollment ID: I20041027000585 |
| Provider Name | Kendell Greer Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275579575 PECOS PAC ID: 4880656305 Enrollment ID: I20041027001169 |
| Provider Name | Djavid Hadian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154392678 PECOS PAC ID: 4587628128 Enrollment ID: I20041115000325 |
| Provider Name | Anne E Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861465197 PECOS PAC ID: 4880642198 Enrollment ID: I20050104000244 |
| Provider Name | Kathleen D Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851364384 PECOS PAC ID: 9133177462 Enrollment ID: I20050104000458 |
| Provider Name | Andrew M Vorhis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821061904 PECOS PAC ID: 2567410905 Enrollment ID: I20050112000240 |
| Provider Name | Rebecca Jane Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477597094 PECOS PAC ID: 6204879968 Enrollment ID: I20050603000954 |
| Provider Name | Jason L Moshier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672242 PECOS PAC ID: 2860436029 Enrollment ID: I20050617000715 |
| Provider Name | Lenora Hirschler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801871694 PECOS PAC ID: 8921043910 Enrollment ID: I20050621000441 |
| Provider Name | Lorraine E Weaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164466520 PECOS PAC ID: 7214963123 Enrollment ID: I20050712000993 |
| Provider Name | Padmanabha R Betina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861467854 PECOS PAC ID: 5092747188 Enrollment ID: I20050909000459 |
| Provider Name | Kerry Keaffaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740226307 PECOS PAC ID: 4284602574 Enrollment ID: I20050914000755 |
| Provider Name | Thomas A Pechin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982675864 PECOS PAC ID: 5991773285 Enrollment ID: I20050914000814 |
| Provider Name | Bryan Andrew Boyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982691762 PECOS PAC ID: 6800820788 Enrollment ID: I20050920001118 |
| Provider Name | Leah Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891807368 PECOS PAC ID: 9234151986 Enrollment ID: I20051222000386 |
| Provider Name | Sultan O Niazi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801874441 PECOS PAC ID: 6709800840 Enrollment ID: I20060117000553 |
| Provider Name | James A Wheeler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790745412 PECOS PAC ID: 6800798976 Enrollment ID: I20060224000613 |
| Provider Name | Savita P Collins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245257856 PECOS PAC ID: 6204836240 Enrollment ID: I20061222000045 |
| Provider Name | Ingrid Kay Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003902248 PECOS PAC ID: 9234233909 Enrollment ID: I20070406000204 |
| Provider Name | Sheila Maureen Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326231689 PECOS PAC ID: 5092897835 Enrollment ID: I20080131000550 |
| Provider Name | Kim W Kahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346338589 PECOS PAC ID: 7810938891 Enrollment ID: I20080307000007 |
| Provider Name | Jeffrey P Bolduan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831278027 PECOS PAC ID: 1951473008 Enrollment ID: I20080707000164 |
| Provider Name | Mark R Ranzinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457339111 PECOS PAC ID: 7911960380 Enrollment ID: I20080815000127 |
| Provider Name | Jody M Neer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720085210 PECOS PAC ID: 5799680070 Enrollment ID: I20080920000017 |
| Provider Name | Timothy W Nush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316160328 PECOS PAC ID: 0648320457 Enrollment ID: I20090616000491 |
| Provider Name | Ebenezer Kio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164509535 PECOS PAC ID: 8224067756 Enrollment ID: I20090902000659 |
| Provider Name | Laura L Morris |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1790765238 PECOS PAC ID: 9234260837 Enrollment ID: I20100625000571 |
| Provider Name | Jean E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297779 PECOS PAC ID: 7810028396 Enrollment ID: I20100628000182 |
| Provider Name | Kristan M Rheinheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417937954 PECOS PAC ID: 6406987585 Enrollment ID: I20100707000043 |
| Provider Name | Daniel Nafziger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679545123 PECOS PAC ID: 5597889485 Enrollment ID: I20100830000496 |
| Provider Name | Sharmila Roy-chowdhury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730285164 PECOS PAC ID: 1759387582 Enrollment ID: I20100928000948 |
| Provider Name | Houman Vaghefi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174713127 PECOS PAC ID: 3476738998 Enrollment ID: I20110427000602 |
| Provider Name | Amy R Pointon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629361357 PECOS PAC ID: 4082884747 Enrollment ID: I20110907001220 |
| Provider Name | Deborah Willa Risa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417258930 PECOS PAC ID: 5193998706 Enrollment ID: I20111026000816 |
| Provider Name | Patrick Joseph Viscardi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801893268 PECOS PAC ID: 3274711833 Enrollment ID: I20111110000819 |
| Provider Name | Jami Kaye Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801152095 PECOS PAC ID: 3375791098 Enrollment ID: I20120920000754 |
| Provider Name | Amy Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053751461 PECOS PAC ID: 6901032192 Enrollment ID: I20131118000733 |
| Provider Name | Lindsay Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487094371 PECOS PAC ID: 7214165935 Enrollment ID: I20140102000043 |
| Provider Name | Rebecca S Stichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306274105 PECOS PAC ID: 8527296920 Enrollment ID: I20140109001899 |
| Provider Name | Justin Jeremiah Lightburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346401395 PECOS PAC ID: 7012154123 Enrollment ID: I20140513000293 |
| Provider Name | Bolanle A Adepoju |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811296668 PECOS PAC ID: 9234378753 Enrollment ID: I20140626001317 |
| Provider Name | Christopher J Owens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497911325 PECOS PAC ID: 4688711450 Enrollment ID: I20140811000601 |
| Provider Name | James N Frimpong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083857023 PECOS PAC ID: 6406003821 Enrollment ID: I20140825001241 |
| Provider Name | Urs Von Holzen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1740457936 PECOS PAC ID: 1052483245 Enrollment ID: I20141106000451 |
| Provider Name | Hollyann Lambdin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316283344 PECOS PAC ID: 5698098093 Enrollment ID: I20141215002546 |
| Provider Name | Emily Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154656130 PECOS PAC ID: 8921140179 Enrollment ID: I20141216000727 |
| Provider Name | Nickie D Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013310184 PECOS PAC ID: 9335462787 Enrollment ID: I20141216002058 |
| Provider Name | Matthew Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205064870 PECOS PAC ID: 9335387497 Enrollment ID: I20150407000546 |
| Provider Name | Ross Heil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265669709 PECOS PAC ID: 4284945502 Enrollment ID: I20150612000833 |
| Provider Name | Sadat Rashid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578728366 PECOS PAC ID: 9436314416 Enrollment ID: I20150622001444 |
| Provider Name | Lindsay B Bonaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605485 PECOS PAC ID: 2668787417 Enrollment ID: I20150824000041 |
| Provider Name | David Da-wei Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144270497 PECOS PAC ID: 1456331164 Enrollment ID: I20151002000217 |
| Provider Name | Mallory Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982082293 PECOS PAC ID: 7911216007 Enrollment ID: I20151012000261 |
| Provider Name | Tamara Kermani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174887608 PECOS PAC ID: 8628388808 Enrollment ID: I20151102000194 |
| Provider Name | Malinda J Lasater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952662777 PECOS PAC ID: 1557500501 Enrollment ID: I20151119002602 |
| Provider Name | Alyssa Cripe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710352950 PECOS PAC ID: 8527361484 Enrollment ID: I20160127000425 |
| Provider Name | James R Lindemulder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902833114 PECOS PAC ID: 1850425737 Enrollment ID: I20160330001410 |
| Provider Name | Lily Kwatampora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407182041 PECOS PAC ID: 0547559536 Enrollment ID: I20160513001668 |
| Provider Name | Catherine Dos Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063866804 PECOS PAC ID: 0840581799 Enrollment ID: I20160623000920 |
| Provider Name | Abrar Sayeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952538621 PECOS PAC ID: 3870757230 Enrollment ID: I20160627000603 |
| Provider Name | Tricia K Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275753253 PECOS PAC ID: 2961795646 Enrollment ID: I20160719001774 |
| Provider Name | Julia Freeze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851739429 PECOS PAC ID: 9830330166 Enrollment ID: I20160826000757 |
| Provider Name | Allyson Mast |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588119739 PECOS PAC ID: 4789971243 Enrollment ID: I20160927001441 |
| Provider Name | Arjuna J Cuddeback |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285922328 PECOS PAC ID: 7618119751 Enrollment ID: I20161229001361 |
| Provider Name | Anthony R Gauthier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548203540 PECOS PAC ID: 1951313212 Enrollment ID: I20170306000945 |
| Provider Name | Angela Mattern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962930180 PECOS PAC ID: 7810266798 Enrollment ID: I20170710000078 |
| Provider Name | Fiona Denham |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1871892208 PECOS PAC ID: 3577706514 Enrollment ID: I20170810001418 |
| Provider Name | Bethany Perrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285048835 PECOS PAC ID: 1355566522 Enrollment ID: I20171005003664 |
| Provider Name | Mackenzie Shireman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765146 PECOS PAC ID: 0143596551 Enrollment ID: I20171030000718 |
| Provider Name | Leon Carroll Coody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881102168 PECOS PAC ID: 4284996620 Enrollment ID: I20180322001112 |
| Provider Name | Charles W Bower |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245289446 PECOS PAC ID: 2264321215 Enrollment ID: I20180614003051 |
| Provider Name | Ashley E Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720491947 PECOS PAC ID: 3072868967 Enrollment ID: I20180618001612 |
| Provider Name | Stephanie Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363233 PECOS PAC ID: 6103171988 Enrollment ID: I20180619002208 |
| Provider Name | Stephanie A. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366939308 PECOS PAC ID: 4688920929 Enrollment ID: I20180628003175 |
| Provider Name | Irina Vita Sparks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831432236 PECOS PAC ID: 1658690524 Enrollment ID: I20180810001732 |
| Provider Name | Grace Catherine Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689164477 PECOS PAC ID: 7517218597 Enrollment ID: I20181002000787 |
| Provider Name | Melissa Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625409 PECOS PAC ID: 6901158831 Enrollment ID: I20181004000479 |
| Provider Name | Kristin J Abbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952883084 PECOS PAC ID: 7911250329 Enrollment ID: I20181101002589 |
| Provider Name | Katherine M Otoole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457822868 PECOS PAC ID: 8022357987 Enrollment ID: I20190312000299 |
| Provider Name | Kevin Michael Houseman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376836916 PECOS PAC ID: 6901037324 Enrollment ID: I20190603002758 |
| Provider Name | Thomas Pechin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972951945 PECOS PAC ID: 7618269564 Enrollment ID: I20190711003320 |
| Provider Name | Falon Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215596770 PECOS PAC ID: 0143556316 Enrollment ID: I20190725001325 |
| Provider Name | Sharrell Eltreece Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427260884 PECOS PAC ID: 5294851424 Enrollment ID: I20190812002947 |
| Provider Name | Kylee Rohatgi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306405824 PECOS PAC ID: 5294062246 Enrollment ID: I20190813003413 |
| Provider Name | Nicholas Defauw |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578791398 PECOS PAC ID: 8224271978 Enrollment ID: I20190821000929 |
| Provider Name | Amanda Ann Aldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124671813 PECOS PAC ID: 5395074504 Enrollment ID: I20190913001524 |
| Provider Name | Heather Ann Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861054678 PECOS PAC ID: 6709219462 Enrollment ID: I20191210003519 |
| Provider Name | Pamela Joybirkholz Stone |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144421009 PECOS PAC ID: 6901995224 Enrollment ID: I20191218001264 |
| Provider Name | Salim A Jaffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043387566 PECOS PAC ID: 5698739191 Enrollment ID: I20191220001272 |
| Provider Name | Matthew Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558891812 PECOS PAC ID: 6608145875 Enrollment ID: I20200220002547 |
| Provider Name | Elizabeth Nafziger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699153593 PECOS PAC ID: 1254631096 Enrollment ID: I20200630002834 |
| Provider Name | Morgan Goodhew Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881215820 PECOS PAC ID: 1850715400 Enrollment ID: I20200716000184 |
| Provider Name | Rebecca Sue Gindelberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942754353 PECOS PAC ID: 7911324694 Enrollment ID: I20200826001292 |
| Provider Name | Edith A Fraire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083228829 PECOS PAC ID: 5092134437 Enrollment ID: I20201002002564 |
| Provider Name | Catherine Ann Wesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730771494 PECOS PAC ID: 1850706185 Enrollment ID: I20210219000817 |
| Provider Name | Kendall M. Coney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497347793 PECOS PAC ID: 2365859253 Enrollment ID: I20210319001066 |
| Provider Name | Jeffery S Lain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194304998 PECOS PAC ID: 3678981875 Enrollment ID: I20210427001969 |
| Provider Name | Sreenivas Kamath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629165378 PECOS PAC ID: 1355314683 Enrollment ID: I20210712002228 |
| Provider Name | Kyle Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255718367 PECOS PAC ID: 6103139712 Enrollment ID: I20210723001788 |
| Provider Name | Beth A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215508569 PECOS PAC ID: 7810390192 Enrollment ID: I20210723001812 |
| Provider Name | Judith Sarah Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114595980 PECOS PAC ID: 6709289689 Enrollment ID: I20210729002946 |
| Provider Name | Jingpin Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083107007 PECOS PAC ID: 1658616289 Enrollment ID: I20210816001056 |
| Provider Name | Eric Matthew Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114599644 PECOS PAC ID: 0648675215 Enrollment ID: I20210819001532 |
| Provider Name | Darah J Regal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093480618 PECOS PAC ID: 7719383751 Enrollment ID: I20210831001277 |
| Provider Name | Rachel Macias |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811379852 PECOS PAC ID: 1254644420 Enrollment ID: I20210913001522 |
| Provider Name | Brittany Altimus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750704524 PECOS PAC ID: 2961800149 Enrollment ID: I20211004000712 |
| Provider Name | Brian Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194977116 PECOS PAC ID: 4385760297 Enrollment ID: I20211102000586 |
| Provider Name | Amanda Meersman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215429956 PECOS PAC ID: 5890040513 Enrollment ID: I20211110001213 |
| Provider Name | Jessica R Ebey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134897242 PECOS PAC ID: 5799174348 Enrollment ID: I20211119001488 |
| Provider Name | Marie Bennion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841870763 PECOS PAC ID: 7315337664 Enrollment ID: I20211201001161 |
| Provider Name | Sabrina A Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942465 PECOS PAC ID: 5991195075 Enrollment ID: I20211203000937 |
| Provider Name | Alexandra R Liberi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730846825 PECOS PAC ID: 4587054127 Enrollment ID: I20211214001256 |
| Provider Name | Ruth Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104584366 PECOS PAC ID: 0446641641 Enrollment ID: I20211223000516 |
| Provider Name | Lindsay Nicole Tomkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265195739 PECOS PAC ID: 5991196867 Enrollment ID: I20220104000250 |
| Provider Name | Danae E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553761 PECOS PAC ID: 0840685996 Enrollment ID: I20220328001150 |
| Provider Name | Rene Alonzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760977425 PECOS PAC ID: 7113273970 Enrollment ID: I20220624001541 |
| Provider Name | Madeline Marie Vandecappelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649839911 PECOS PAC ID: 5698000818 Enrollment ID: I20220705001135 |
| Provider Name | Duane Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184296097 PECOS PAC ID: 2860882313 Enrollment ID: I20220714001398 |
| Provider Name | Chelsea E Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366003188 PECOS PAC ID: 1153656376 Enrollment ID: I20220719001016 |
| Provider Name | Brittany Verbie Kauffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447819883 PECOS PAC ID: 2163757386 Enrollment ID: I20220719001954 |
| Provider Name | Lylian J Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912636994 PECOS PAC ID: 0042692592 Enrollment ID: I20220801002042 |
| Provider Name | Andrea Jaramillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992200711 PECOS PAC ID: 8123419157 Enrollment ID: I20230209002323 |
| Provider Name | Kelly Jo Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982318002 PECOS PAC ID: 5395117543 Enrollment ID: I20230216000510 |
| Provider Name | Katarina Leckova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699734251 PECOS PAC ID: 4385628536 Enrollment ID: I20230330001030 |
| Provider Name | Muhammad Bostaji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609875046 PECOS PAC ID: 9830096387 Enrollment ID: I20230411002048 |
| Provider Name | Nicholas D Panting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346865516 PECOS PAC ID: 8527481043 Enrollment ID: I20230630001121 |
| Provider Name | Carissa May |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194107755 PECOS PAC ID: 9335441591 Enrollment ID: I20230811003295 |
| Provider Name | Kennedy Iheanacho |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174056329 PECOS PAC ID: 9032583331 Enrollment ID: I20230816002688 |
| Provider Name | Karla Troyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568088557 PECOS PAC ID: 4981028859 Enrollment ID: I20230919003444 |
| Provider Name | Gopal Menon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1730509217 PECOS PAC ID: 9931437522 Enrollment ID: I20231005003276 |
| Provider Name | Scott Swanson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1528266269 PECOS PAC ID: 4183864820 Enrollment ID: I20231031001349 |
| Provider Name | Priyanka Mathias |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699151522 PECOS PAC ID: 4789924119 Enrollment ID: I20240323000109 |
| Provider Name | Amber Kaehr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023861614 PECOS PAC ID: 5496197543 Enrollment ID: I20240521003974 |
Maple City Health Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 Fax: 574-534-5412 | |
Goshen Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1811 Charlton Ct, Goshen, IN 46526 Phone: 574-534-8200 Fax: 574-534-0411 | |
Krabill Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 Charlton Ct, Goshen, IN 46526 Phone: 574-534-2400 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-296-3291 Fax: 574-296-3383 | |
Goshen Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Charlton Ct Ste A, Goshen, IN 46526 Phone: 574-533-4169 Fax: 574-534-8822 | |
Goshen Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 Winsted Dr Ste 2, Goshen, IN 46526 Phone: 574-537-1625 Fax: 574-537-9384 |