| Indiana University Health La Porte Physicians Inc | |
|
1007 Lincolnway La Porte IN 46350-3201 | |
| (219) 326-2489 | |
| (219) 326-2584 |
| Full Name | Indiana University Health La Porte Physicians Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 Lincolnway, La Porte, Indiana |
| Authorized Official Name and Position | Brian Donnelly (VP OF STRATEGY & AMBULATORY SERVICE) |
| Authorized Official Contact | 2193254682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health La Porte Physicians Inc Po Box 1690 La Porte IN 46352-1690 Ph: (219) 326-2312 | Indiana University Health La Porte Physicians Inc 1007 Lincolnway La Porte IN 46350-3201 Ph: (219) 326-2489 |
| NPI Number | 1760593776 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/22/2014 |
| Medicare PECOS PAC ID | 0345147963 |
|---|---|
| Medicare Enrollment ID | O20031212000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760593776 | NPI | - | NPPES |
| 200255890 | Medicaid | IN | |
| 100165070 | Medicaid | IN | |
| 200988350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Elizabeth L Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598243 PECOS PAC ID: 5799676375 Enrollment ID: I20040323000859 |
| Provider Name | Jennifer R Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134213168 PECOS PAC ID: 2769468412 Enrollment ID: I20040624001644 |
| Provider Name | Nancy J Paunicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841287299 PECOS PAC ID: 4183696560 Enrollment ID: I20040806000723 |
| Provider Name | Franklin Firestone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492245 PECOS PAC ID: 8729050158 Enrollment ID: I20040806001058 |
| Provider Name | Abul W Basher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891784500 PECOS PAC ID: 8729054341 Enrollment ID: I20040906000036 |
| Provider Name | Douglas J. Vanputten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851378558 PECOS PAC ID: 4688642796 Enrollment ID: I20040922000938 |
| Provider Name | Neil W Wangstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730189820 PECOS PAC ID: 2062474414 Enrollment ID: I20041028000846 |
| Provider Name | Vinay Chakravarthy Tumuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528015344 PECOS PAC ID: 5496717431 Enrollment ID: I20041101001170 |
| Provider Name | Thomas M Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277288 PECOS PAC ID: 0547224149 Enrollment ID: I20041115000005 |
| Provider Name | Christopher David Sayers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578677191 PECOS PAC ID: 3779508668 Enrollment ID: I20051010000936 |
| Provider Name | Maureen Ann Panares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558461301 PECOS PAC ID: 8426078585 Enrollment ID: I20051205000101 |
| Provider Name | Julius R Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194734145 PECOS PAC ID: 8527097773 Enrollment ID: I20051207001083 |
| Provider Name | Benjamin C Mannix |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942235346 PECOS PAC ID: 1951362961 Enrollment ID: I20060425000436 |
| Provider Name | Kimberly K Pflughaupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447357199 PECOS PAC ID: 5991800526 Enrollment ID: I20070410000460 |
| Provider Name | Curtis M Bejes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730272857 PECOS PAC ID: 5890893481 Enrollment ID: I20070605000472 |
| Provider Name | David J Gorecki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316923444 PECOS PAC ID: 1052412582 Enrollment ID: I20070727000002 |
| Provider Name | Diane K Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801808100 PECOS PAC ID: 1658464276 Enrollment ID: I20070912000338 |
| Provider Name | Usama Moustafa Moustafa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447439922 PECOS PAC ID: 8022108786 Enrollment ID: I20071218000384 |
| Provider Name | Mckindra Fletcher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467448019 PECOS PAC ID: 5395657605 Enrollment ID: I20080102000340 |
| Provider Name | Jason P Palmateer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083695332 PECOS PAC ID: 9335225853 Enrollment ID: I20080325000269 |
| Provider Name | Michael J Best |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621510 PECOS PAC ID: 1052487337 Enrollment ID: I20080910000639 |
| Provider Name | Jessica L Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972776292 PECOS PAC ID: 7012084627 Enrollment ID: I20080924000239 |
| Provider Name | James C Pickford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790713733 PECOS PAC ID: 3274600721 Enrollment ID: I20080924000630 |
| Provider Name | Roman O Filipowicz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710989777 PECOS PAC ID: 2961550132 Enrollment ID: I20090427000384 |
| Provider Name | Michael J Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942219878 PECOS PAC ID: 4183779994 Enrollment ID: I20090831000513 |
| Provider Name | Gary H Wheeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457312357 PECOS PAC ID: 9436293420 Enrollment ID: I20100215000008 |
| Provider Name | Wayne E Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003824004 PECOS PAC ID: 4082778436 Enrollment ID: I20100915000884 |
| Provider Name | Kimberly A Minich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043525595 PECOS PAC ID: 1759560675 Enrollment ID: I20110125000500 |
| Provider Name | Jessie B Batchelor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609184621 PECOS PAC ID: 1850578352 Enrollment ID: I20110609000747 |
| Provider Name | Nabil Abdo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629226089 PECOS PAC ID: 1759551419 Enrollment ID: I20110907001145 |
| Provider Name | Syed M. Shan-ul-islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487742896 PECOS PAC ID: 2769587948 Enrollment ID: I20110929000480 |
| Provider Name | Sara L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083996763 PECOS PAC ID: 9931368040 Enrollment ID: I20120309000023 |
| Provider Name | Jennifer K Vanmeter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982978763 PECOS PAC ID: 9032373998 Enrollment ID: I20120606000230 |
| Provider Name | Melissa L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831422518 PECOS PAC ID: 2961667282 Enrollment ID: I20120711000229 |
| Provider Name | Seth F Tatel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433467 PECOS PAC ID: 8426214875 Enrollment ID: I20120730000491 |
| Provider Name | Ali Esmaili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760684013 PECOS PAC ID: 5294927976 Enrollment ID: I20121023000127 |
| Provider Name | Sandra Renee Gates Manna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124396072 PECOS PAC ID: 0749431203 Enrollment ID: I20121108000643 |
| Provider Name | Alexander C Igolnikov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437249182 PECOS PAC ID: 4183622913 Enrollment ID: I20121110000067 |
| Provider Name | Ted George Ody Achufusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033353792 PECOS PAC ID: 2163673617 Enrollment ID: I20121110000201 |
| Provider Name | Kimberley K Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043555394 PECOS PAC ID: 7012161946 Enrollment ID: I20130131000189 |
| Provider Name | Wendy R Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194077644 PECOS PAC ID: 1658519814 Enrollment ID: I20130529000578 |
| Provider Name | Andrea Mcgaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558704445 PECOS PAC ID: 4183867849 Enrollment ID: I20130827000920 |
| Provider Name | Shesha Katakam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578720439 PECOS PAC ID: 2365519626 Enrollment ID: I20131206001385 |
| Provider Name | Tracy E Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508290289 PECOS PAC ID: 8325277494 Enrollment ID: I20140213000104 |
| Provider Name | Janice M Bohlim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821499328 PECOS PAC ID: 1951623180 Enrollment ID: I20141125001592 |
| Provider Name | Eddie P Kemper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932170602 PECOS PAC ID: 3072511542 Enrollment ID: I20141230000300 |
| Provider Name | Christina M Matoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567761 PECOS PAC ID: 2769706928 Enrollment ID: I20150115002365 |
| Provider Name | Glorious L Wilson-reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898320 PECOS PAC ID: 7315261302 Enrollment ID: I20150122001187 |
| Provider Name | Hadeily Salazar Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033463708 PECOS PAC ID: 0446562243 Enrollment ID: I20150708001294 |
| Provider Name | Alexis Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588051726 PECOS PAC ID: 8628381431 Enrollment ID: I20150723007188 |
| Provider Name | Pooja S Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881985463 PECOS PAC ID: 0749595262 Enrollment ID: I20150812009084 |
| Provider Name | Ashley K Kirkwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518214618 PECOS PAC ID: 1355656455 Enrollment ID: I20150819007054 |
| Provider Name | Rebecca E Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962888677 PECOS PAC ID: 7113233990 Enrollment ID: I20150825005093 |
| Provider Name | Sonam M Chouksey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720375827 PECOS PAC ID: 3971724915 Enrollment ID: I20150921000518 |
| Provider Name | Sylvia Oudhuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265899835 PECOS PAC ID: 5890090526 Enrollment ID: I20160218000116 |
Gregory A. Andrews, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Lincolnway, Suite 206, La Porte, IN 46350 Phone: 219-324-3053 Fax: 219-324-5352 | |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Legacy Plz W, La Porte, IN 46350 Phone: 219-763-8112 Fax: 219-764-5333 | |
Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 219-326-0043 | |
Charles F Motley Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-872-7247 Fax: 219-879-8609 | |
Healthlinc, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 888-580-1060 Fax: 219-465-9507 | |
Healthlinc, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 State St Ste B, La Porte, IN 46350 Phone: 219-413-5100 Fax: 219-465-9507 | |
Laporte Osteopathic Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 East Shore Parkway, Suite D, La Porte, IN 46350 Phone: 219-325-0155 |