| La Porte Clinic Company Llc | |
|
1331 State St La Porte IN 46350-3112 | |
| (219) 344-6450 | |
| Not Available |
| Full Name | La Porte Clinic Company Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1331 State St, La Porte, Indiana |
| Authorized Official Name and Position | Paula Durham (DIRECTOR) |
| Authorized Official Contact | 6154657697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Porte Clinic Company Llc Po Box 689022 Franklin TN 37068-9022 Ph: (877) 892-9815 | La Porte Clinic Company Llc 1331 State St La Porte IN 46350-3112 Ph: (219) 344-6450 |
| NPI Number | 1568829224 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0446558357 |
|---|---|
| Medicare Enrollment ID | O20160408001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568829224 | NPI | - | NPPES |
| Provider Name | Theodore L Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043202567 PECOS PAC ID: 1052213725 Enrollment ID: I20040122001175 |
| Provider Name | Scott P Fielder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689682072 PECOS PAC ID: 6204819311 Enrollment ID: I20040610000299 |
| Provider Name | Thomas D Magill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063421188 PECOS PAC ID: 1052395696 Enrollment ID: I20040614000495 |
| Provider Name | Jack Hall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558337857 PECOS PAC ID: 6709861743 Enrollment ID: I20040623000130 |
| Provider Name | Jennifer R Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134213168 PECOS PAC ID: 2769468412 Enrollment ID: I20040624001644 |
| Provider Name | Kristina I Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114998275 PECOS PAC ID: 1052383437 Enrollment ID: I20040806000678 |
| 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 | 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 | Anne T Hollingsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902891542 PECOS PAC ID: 3274523998 Enrollment ID: I20050224000125 |
| Provider Name | Billie A Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508837782 PECOS PAC ID: 7214978501 Enrollment ID: I20050517000745 |
| Provider Name | Monica L Lorimer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184619900 PECOS PAC ID: 3870524184 Enrollment ID: I20050826000177 |
| Provider Name | Laura Ann Hannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154339935 PECOS PAC ID: 1557396181 Enrollment ID: I20051003000052 |
| Provider Name | Julius R Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194734145 PECOS PAC ID: 8527097773 Enrollment ID: I20051207001083 |
| Provider Name | Mangalore J Subba Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194771113 PECOS PAC ID: 3173528718 Enrollment ID: I20061003000489 |
| Provider Name | Kimberly K Pflughaupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447357199 PECOS PAC ID: 5991800526 Enrollment ID: I20070410000460 |
| Provider Name | Mark A Dixon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912980236 PECOS PAC ID: 9638126592 Enrollment ID: I20070606000402 |
| 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 | Wassim Shwaiki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013115039 PECOS PAC ID: 5890886873 Enrollment ID: I20070806000231 |
| Provider Name | Naseer H Nasser |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063436582 PECOS PAC ID: 7315956562 Enrollment ID: I20070917000260 |
| Provider Name | Alissa Sykora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780883538 PECOS PAC ID: 6002904943 Enrollment ID: I20071112000001 |
| 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 | John T Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891891156 PECOS PAC ID: 0840360129 Enrollment ID: I20080529000147 |
| Provider Name | Jessica L Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972776292 PECOS PAC ID: 7012084627 Enrollment ID: I20080924000239 |
| Provider Name | Joseph R Arulandu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316952807 PECOS PAC ID: 2163580465 Enrollment ID: I20081014000808 |
| Provider Name | Lisa K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942480785 PECOS PAC ID: 4385705193 Enrollment ID: I20081211000151 |
| Provider Name | Chantel K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235369380 PECOS PAC ID: 2668412479 Enrollment ID: I20091001000005 |
| Provider Name | Chuck G Nwakanma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417984063 PECOS PAC ID: 0840294633 Enrollment ID: I20100105000587 |
| Provider Name | Hector J Marchand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538181359 PECOS PAC ID: 7012005861 Enrollment ID: I20100225000192 |
| Provider Name | Nancy C Han |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215962253 PECOS PAC ID: 4486655396 Enrollment ID: I20100518000113 |
| Provider Name | Maria Stamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902836984 PECOS PAC ID: 2961423256 Enrollment ID: I20110412000326 |
| Provider Name | Natalie Opanasets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366615833 PECOS PAC ID: 8426237892 Enrollment ID: I20110415000168 |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225219462 PECOS PAC ID: 9638365653 Enrollment ID: I20110629000618 |
| Provider Name | Subba Rao Nagubadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417957457 PECOS PAC ID: 8224206412 Enrollment ID: I20110713000649 |
| 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 | Erin A Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629329867 PECOS PAC ID: 5496905283 Enrollment ID: I20121102000127 |
| Provider Name | Alexander C Igolnikov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437249182 PECOS PAC ID: 4183622913 Enrollment ID: I20121110000067 |
| Provider Name | Wendy R Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194077644 PECOS PAC ID: 1658519814 Enrollment ID: I20130529000578 |
| Provider Name | Alejandro A Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801873435 PECOS PAC ID: 3274728357 Enrollment ID: I20130905000866 |
| Provider Name | Sarah D Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255778627 PECOS PAC ID: 1759516941 Enrollment ID: I20131023002267 |
| Provider Name | Nazmul Huda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609076777 PECOS PAC ID: 4981786175 Enrollment ID: I20140116000716 |
| Provider Name | Megan L Vermilyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033524905 PECOS PAC ID: 3072739812 Enrollment ID: I20140730002824 |
| Provider Name | Jeannette M Zelhart-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830592 PECOS PAC ID: 2264651652 Enrollment ID: I20140917001297 |
| Provider Name | Janice M Bohlim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821499328 PECOS PAC ID: 1951623180 Enrollment ID: I20141125001592 |
| Provider Name | Heather J Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376949727 PECOS PAC ID: 3173846698 Enrollment ID: I20150107002579 |
| 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 | Ashley D Gacsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528447299 PECOS PAC ID: 3577876358 Enrollment ID: I20150722005834 |
| Provider Name | Ashley K Kirkwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518214618 PECOS PAC ID: 1355656455 Enrollment ID: I20150819007054 |
| Provider Name | Lindsay B Bonaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605485 PECOS PAC ID: 2668787417 Enrollment ID: I20150824000041 |
| Provider Name | Maya Kommineni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578721379 PECOS PAC ID: 5193858579 Enrollment ID: I20151103000921 |
| Provider Name | Inna V Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376786434 PECOS PAC ID: 0446396782 Enrollment ID: I20151214000388 |
| Provider Name | Sylvia Oudhuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265899835 PECOS PAC ID: 5890090526 Enrollment ID: I20160218000116 |
| Provider Name | Mohamed Attia El Nemr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619160553 PECOS PAC ID: 9537285259 Enrollment ID: I20160912000633 |
| Provider Name | Jessica L Wisdom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790205292 PECOS PAC ID: 8426321142 Enrollment ID: I20170831001614 |
| Provider Name | Rebecca Ehrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850937 PECOS PAC ID: 5698033397 Enrollment ID: I20180102001146 |
| Provider Name | Jessica D Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366769747 PECOS PAC ID: 3072755610 Enrollment ID: I20180410002392 |
| Provider Name | Nikole K Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427556232 PECOS PAC ID: 6901161454 Enrollment ID: I20180604001091 |
| Provider Name | Stephanie Maris Kadish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538659560 PECOS PAC ID: 0648525089 Enrollment ID: I20180626001565 |
| Provider Name | Anshuman Das |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518255124 PECOS PAC ID: 7810110673 Enrollment ID: I20180810001500 |
| Provider Name | Ibrahim N Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619076619 PECOS PAC ID: 0547365397 Enrollment ID: I20181018003279 |
| Provider Name | Autumn Nichole Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912482936 PECOS PAC ID: 9133466501 Enrollment ID: I20190123001194 |
| Provider Name | Andleeb S Bangash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003093824 PECOS PAC ID: 8729277157 Enrollment ID: I20190130002665 |
| Provider Name | Alicia Roberta Bueche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591991 PECOS PAC ID: 1456684265 Enrollment ID: I20190611001319 |
| Provider Name | Blake A Hood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053730176 PECOS PAC ID: 0042430118 Enrollment ID: I20190611001412 |
| Provider Name | Jeana Renee Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347524 PECOS PAC ID: 1850627027 Enrollment ID: I20190725001427 |
| Provider Name | Ayman S Alzubi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306843339 PECOS PAC ID: 1850349499 Enrollment ID: I20190727000236 |
| Provider Name | Suzanne Marie Hanna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497301964 PECOS PAC ID: 6800125618 Enrollment ID: I20190904000717 |
| Provider Name | Fahd Abdullah Kader Syed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457619702 PECOS PAC ID: 5991021313 Enrollment ID: I20190905000495 |
| Provider Name | Anas Alsadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881841013 PECOS PAC ID: 5890912703 Enrollment ID: I20191014002798 |
| Provider Name | Joyce Stamiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578117719 PECOS PAC ID: 6406280601 Enrollment ID: I20191220002474 |
| Provider Name | Eric Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316933054 PECOS PAC ID: 9436145752 Enrollment ID: I20200218002814 |
| Provider Name | Guillermo Font |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760421382 PECOS PAC ID: 3678636487 Enrollment ID: I20200307000022 |
| Provider Name | Ather A Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386616399 PECOS PAC ID: 5597707026 Enrollment ID: I20200320002678 |
| Provider Name | Lisa Neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893084 PECOS PAC ID: 0648600593 Enrollment ID: I20200417000644 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20200522002454 |
| Provider Name | Kalid Adab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20200806001982 |
| Provider Name | Hemraj Makwana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245214196 PECOS PAC ID: 1052395092 Enrollment ID: I20200817001699 |
| Provider Name | Tara Lee Nimtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437631 PECOS PAC ID: 3274953310 Enrollment ID: I20201012001646 |
| Provider Name | Daniel Raeff Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396344487 PECOS PAC ID: 6002226305 Enrollment ID: I20201027002298 |
| Provider Name | Tiffany Marie Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427645597 PECOS PAC ID: 2365855772 Enrollment ID: I20210104000659 |
| Provider Name | Eyad Karzoun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649470196 PECOS PAC ID: 2466693403 Enrollment ID: I20210106000860 |
| Provider Name | Jessica Fiehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598309940 PECOS PAC ID: 1557693827 Enrollment ID: I20210217001717 |
| Provider Name | Issa Rezek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730507427 PECOS PAC ID: 7416276365 Enrollment ID: I20210301001007 |
| Provider Name | Joelle Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922529973 PECOS PAC ID: 4183058217 Enrollment ID: I20210409001280 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20210621000667 |
| Provider Name | Andrew Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720473358 PECOS PAC ID: 9335561364 Enrollment ID: I20210713000664 |
| Provider Name | Setri Fugar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891175915 PECOS PAC ID: 6103122254 Enrollment ID: I20210728001620 |
| Provider Name | Asma Aziz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922594456 PECOS PAC ID: 2769739903 Enrollment ID: I20210825000714 |
| Provider Name | Jennifer Renee Crayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447822028 PECOS PAC ID: 6204233174 Enrollment ID: I20210920001260 |
| Provider Name | David Kashmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275748386 PECOS PAC ID: 9638243173 Enrollment ID: I20211103000723 |
| Provider Name | Savannah Marie Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770244469 PECOS PAC ID: 7416340450 Enrollment ID: I20220215001433 |
| Provider Name | Tracy Banghart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689332041 PECOS PAC ID: 1254725310 Enrollment ID: I20220307001134 |
| Provider Name | Joos Moerland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710638432 PECOS PAC ID: 1355736844 Enrollment ID: I20220321000089 |
| Provider Name | Shannon Ellen Tingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962155994 PECOS PAC ID: 0143616086 Enrollment ID: I20220401001469 |
| Provider Name | Rachelle Marie Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245989797 PECOS PAC ID: 9537556287 Enrollment ID: I20220427000705 |
| Provider Name | Alexandru Marginean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669829354 PECOS PAC ID: 8224329818 Enrollment ID: I20220705000118 |
| Provider Name | Andrew House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521697 PECOS PAC ID: 4981934338 Enrollment ID: I20220725000255 |
| Provider Name | Kayla Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114693108 PECOS PAC ID: 9032591813 Enrollment ID: I20220727001648 |
| Provider Name | Robert Piotrowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134382898 PECOS PAC ID: 0547442212 Enrollment ID: I20220921000386 |
| Provider Name | Roberto Antonio Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923198 PECOS PAC ID: 1254707250 Enrollment ID: I20221017001040 |
| Provider Name | Ashton N Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659093052 PECOS PAC ID: 2769858372 Enrollment ID: I20221024001711 |
| Provider Name | Alexandria Molaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184213829 PECOS PAC ID: 0840667515 Enrollment ID: I20221109001701 |
| Provider Name | Marvi Bikak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548600380 PECOS PAC ID: 4688816432 Enrollment ID: I20221230000675 |
| Provider Name | Khalid Al-khafaji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588070031 PECOS PAC ID: 0042566564 Enrollment ID: I20230113001901 |
| Provider Name | Elizabeth M Spoljoric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457057341 PECOS PAC ID: 2567836380 Enrollment ID: I20230317002164 |
| Provider Name | Brittany Nichole Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578264438 PECOS PAC ID: 4183080963 Enrollment ID: I20230522000335 |
| Provider Name | Sidnee Rae Majchrzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558063891 PECOS PAC ID: 0840656518 Enrollment ID: I20230523000503 |
| Provider Name | Ajoe John Kattoor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659754422 PECOS PAC ID: 3476869744 Enrollment ID: I20230621002189 |
| Provider Name | Ashley Jean Milcarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427736925 PECOS PAC ID: 2860853702 Enrollment ID: I20230725003298 |
| Provider Name | Taiwo Falaiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942864871 PECOS PAC ID: 0749515757 Enrollment ID: I20230829002993 |
| Provider Name | Taylor Ann Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770366825 PECOS PAC ID: 6709230857 Enrollment ID: I20230925000614 |
| Provider Name | Costa Hanna Sousou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225032857 PECOS PAC ID: 0244261592 Enrollment ID: I20231021000514 |
| Provider Name | Navleen K. Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750630943 PECOS PAC ID: 9739469099 Enrollment ID: I20231215000969 |
| Provider Name | Krystal Antrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053191593 PECOS PAC ID: 4486005220 Enrollment ID: I20240105003098 |
| Provider Name | John Lobo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962512699 PECOS PAC ID: 3274579891 Enrollment ID: I20240308001878 |
| Provider Name | Roger J Rembecki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396816880 PECOS PAC ID: 2264535343 Enrollment ID: I20240523001171 |
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 |