| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2269 W 25th Ave, Gary, Indiana |
| Authorized Official Name and Position | Mathew Doyle (PRESIDENT) |
| Authorized Official Contact | 2198864171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8701 Broadway Merrillville IN 46410-7035 Ph: (219) 738-5985 | 2269 W 25th Ave Gary IN 46404-3367 Ph: (219) 884-2400 |
| NPI Number | 1720290349 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 12/16/2024 |
| Medicare PECOS PAC ID | 9638063894 |
|---|---|
| Medicare Enrollment ID | O20040210000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720290349 | NPI | - | NPPES |
| 200082690E | Medicaid | IN |
| Provider Name | John P Rachoy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124138805 PECOS PAC ID: 7214840024 Enrollment ID: I20031110000016 |
| Provider Name | Anthony Okechukwu Iwuagwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699844886 PECOS PAC ID: 2668366725 Enrollment ID: I20040210000574 |
| Provider Name | Perry Earl Zack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568431559 PECOS PAC ID: 8325023435 Enrollment ID: I20040622001639 |
| Provider Name | Sanjeev Maniar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851352181 PECOS PAC ID: 7719967363 Enrollment ID: I20040728000886 |
| Provider Name | Ramesh Unni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427039205 PECOS PAC ID: 3274504139 Enrollment ID: I20040804000273 |
| Provider Name | Arnita K Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992779383 PECOS PAC ID: 3274506738 Enrollment ID: I20040813000908 |
| Provider Name | Debra A Equihua |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396819355 PECOS PAC ID: 6709851611 Enrollment ID: I20040901001197 |
| Provider Name | Angelique D Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553166 PECOS PAC ID: 4688642325 Enrollment ID: I20040921000704 |
| Provider Name | Vida Mcghee-lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083696397 PECOS PAC ID: 2365402039 Enrollment ID: I20041021000001 |
| Provider Name | Lauren W Harting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124128681 PECOS PAC ID: 6901867738 Enrollment ID: I20041025000398 |
| Provider Name | Harish A Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740276682 PECOS PAC ID: 8729973698 Enrollment ID: I20041116000101 |
| Provider Name | Thach N Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700872769 PECOS PAC ID: 7012816119 Enrollment ID: I20041116000114 |
| Provider Name | Vijay B Dave |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316933443 PECOS PAC ID: 8921993890 Enrollment ID: I20041116000369 |
| Provider Name | Andre K Artis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811987688 PECOS PAC ID: 1658335088 Enrollment ID: I20041116000805 |
| Provider Name | Joseph P Spott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568437937 PECOS PAC ID: 8426004516 Enrollment ID: I20050322000761 |
| Provider Name | Larry Salberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073666749 PECOS PAC ID: 3375438419 Enrollment ID: I20050421001472 |
| Provider Name | Judson B Wood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669429031 PECOS PAC ID: 4789661224 Enrollment ID: I20050528000007 |
| Provider Name | Anekal Bheemarau Sreeram |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659560100 PECOS PAC ID: 0648216952 Enrollment ID: I20050707000928 |
| Provider Name | Rakesh Kansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497859516 PECOS PAC ID: 8527095561 Enrollment ID: I20050721000567 |
| Provider Name | Fadi I Alzeidan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224724 PECOS PAC ID: 8325072994 Enrollment ID: I20050923000552 |
| Provider Name | Ann E Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588683502 PECOS PAC ID: 3971528258 Enrollment ID: I20051006000452 |
| Provider Name | Clive L Alonzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134190721 PECOS PAC ID: 7012935919 Enrollment ID: I20051109000701 |
| Provider Name | Jonathan Richard Javors |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962402628 PECOS PAC ID: 6406876705 Enrollment ID: I20051201000421 |
| Provider Name | Candice S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851361885 PECOS PAC ID: 4789672817 Enrollment ID: I20060105000020 |
| Provider Name | Rosie D Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316947070 PECOS PAC ID: 1456366830 Enrollment ID: I20060207000824 |
| Provider Name | Luwanga U Okoro |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1689673683 PECOS PAC ID: 0648216556 Enrollment ID: I20060209000027 |
| Provider Name | Frances Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689602468 PECOS PAC ID: 3072523612 Enrollment ID: I20060427000253 |
| Provider Name | Keke Uzokwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629079488 PECOS PAC ID: 7810955739 Enrollment ID: I20060821000522 |
| Provider Name | Ahmad K El-samad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174559876 PECOS PAC ID: 2466458252 Enrollment ID: I20061208000096 |
| Provider Name | Tyler E Emley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407989932 PECOS PAC ID: 3678660289 Enrollment ID: I20071030000035 |
| Provider Name | James Hong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881778009 PECOS PAC ID: 6305845009 Enrollment ID: I20071031000358 |
| Provider Name | Surendra Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528088689 PECOS PAC ID: 5890884928 Enrollment ID: I20071127000765 |
| Provider Name | Richard L Cristea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992858641 PECOS PAC ID: 9739074873 Enrollment ID: I20080623000462 |
| Provider Name | Kupusamy Umapathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306842786 PECOS PAC ID: 1557386356 Enrollment ID: I20080729000743 |
| Provider Name | Adam Eric Perlmutter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235270067 PECOS PAC ID: 9032205349 Enrollment ID: I20080812000855 |
| Provider Name | Jonnelle C Sweetner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598776049 PECOS PAC ID: 2860567500 Enrollment ID: I20080815000004 |
| Provider Name | Navin Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790901940 PECOS PAC ID: 3971663915 Enrollment ID: I20081120000030 |
| Provider Name | Harshavardhan L Dalal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700812823 PECOS PAC ID: 9234299215 Enrollment ID: I20081120000498 |
| Provider Name | Venkatesan R Gorantla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659302891 PECOS PAC ID: 7618911579 Enrollment ID: I20081215000635 |
| Provider Name | Ujor Ude Eko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740446863 PECOS PAC ID: 9537210687 Enrollment ID: I20090630000550 |
| Provider Name | Nicole Y Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033302955 PECOS PAC ID: 9032256177 Enrollment ID: I20091022000471 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20091223000350 |
| Provider Name | Alfred L Bonjean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003884834 PECOS PAC ID: 4880787845 Enrollment ID: I20100209000647 |
| Provider Name | Raphael E Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457414310 PECOS PAC ID: 0749316826 Enrollment ID: I20100329000025 |
| Provider Name | Albert L Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155534 PECOS PAC ID: 5092737452 Enrollment ID: I20100601000539 |
| Provider Name | Angela R Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932262847 PECOS PAC ID: 5597899872 Enrollment ID: I20100823000750 |
| Provider Name | Winifred O Oniah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183185 PECOS PAC ID: 4981728276 Enrollment ID: I20100823000974 |
| Provider Name | Bruce J Brincko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487647277 PECOS PAC ID: 6800901935 Enrollment ID: I20101012000016 |
| Provider Name | Dennis Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477546265 PECOS PAC ID: 0749309276 Enrollment ID: I20101028000050 |
| Provider Name | Shashikant R Rane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303640 PECOS PAC ID: 7416142260 Enrollment ID: I20101108000074 |
| Provider Name | Valentin Florinel Drezaliu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184880981 PECOS PAC ID: 1759576911 Enrollment ID: I20101112000943 |
| Provider Name | Michael Linton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114013034 PECOS PAC ID: 2769678705 Enrollment ID: I20101202000202 |
| Provider Name | Jennifer Pallone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295888923 PECOS PAC ID: 2264620376 Enrollment ID: I20101215001162 |
| Provider Name | Isidora L Nantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609939594 PECOS PAC ID: 1951599570 Enrollment ID: I20101227000450 |
| Provider Name | Adolphus Anekwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750303343 PECOS PAC ID: 0244315638 Enrollment ID: I20110115000015 |
| Provider Name | Ayoola Gomih |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831117522 PECOS PAC ID: 0345421434 Enrollment ID: I20110223000042 |
| Provider Name | Jaroslaw Kuna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285818591 PECOS PAC ID: 2769661941 Enrollment ID: I20110307000599 |
| Provider Name | Elian M Shepherd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700921996 PECOS PAC ID: 3870777816 Enrollment ID: I20110415000172 |
| Provider Name | Mark A Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326067042 PECOS PAC ID: 6305731191 Enrollment ID: I20110608000125 |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225219462 PECOS PAC ID: 9638365653 Enrollment ID: I20110629000618 |
| Provider Name | Kristy B Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316244528 PECOS PAC ID: 2062683972 Enrollment ID: I20110927000054 |
| Provider Name | Oluremi C Adesida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346265808 PECOS PAC ID: 0042481731 Enrollment ID: I20110929000640 |
| Provider Name | John J Pomponi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851519771 PECOS PAC ID: 7416094669 Enrollment ID: I20111109000039 |
| Provider Name | George V Tsoutsouris |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952309759 PECOS PAC ID: 8820103930 Enrollment ID: I20120110000421 |
| Provider Name | Kimberly Lucaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164705042 PECOS PAC ID: 0244497394 Enrollment ID: I20120201000781 |
| Provider Name | Mathew V Castelino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912970229 PECOS PAC ID: 8527051572 Enrollment ID: I20120224000000 |
| Provider Name | Beatrice Alexandria Nelson Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790805448 PECOS PAC ID: 8729264288 Enrollment ID: I20120313000268 |
| Provider Name | Zainab Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609028000 PECOS PAC ID: 9931368768 Enrollment ID: I20120314000011 |
| Provider Name | Tonya A Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528392156 PECOS PAC ID: 7315101177 Enrollment ID: I20120607000621 |
| Provider Name | Lori A Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942587449 PECOS PAC ID: 5395909006 Enrollment ID: I20120608000435 |
| Provider Name | Laura Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174642763 PECOS PAC ID: 3375791007 Enrollment ID: I20120920000773 |
| Provider Name | Mary Lorraine Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972732725 PECOS PAC ID: 9638327216 Enrollment ID: I20120925000092 |
| Provider Name | Mark J Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740486398 PECOS PAC ID: 3971684739 Enrollment ID: I20130126000010 |
| Provider Name | Vineet P Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699868455 PECOS PAC ID: 4385645431 Enrollment ID: I20130419000200 |
| Provider Name | Jennifer Dochee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093992836 PECOS PAC ID: 2769657022 Enrollment ID: I20130429000335 |
| Provider Name | Mihas Kodenchery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013111475 PECOS PAC ID: 3779630207 Enrollment ID: I20130809000047 |
| Provider Name | Chinyere I Odeluga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316002181 PECOS PAC ID: 0648466045 Enrollment ID: I20130814000213 |
| Provider Name | Shane D Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316258874 PECOS PAC ID: 7810149234 Enrollment ID: I20130828000182 |
| Provider Name | Kristine L Starcevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437326881 PECOS PAC ID: 6406099837 Enrollment ID: I20130903000786 |
| Provider Name | Manoj V Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790946168 PECOS PAC ID: 8022252501 Enrollment ID: I20130924000227 |
| Provider Name | Otito Nnebundo Aronu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932365913 PECOS PAC ID: 8820223795 Enrollment ID: I20131030001405 |
| Provider Name | Helen Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619391364 PECOS PAC ID: 8921231747 Enrollment ID: I20140501002009 |
| Provider Name | Onyinye Echeumuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629484456 PECOS PAC ID: 6507083656 Enrollment ID: I20140813001160 |
| Provider Name | Michelle J Wathier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124436217 PECOS PAC ID: 4486873437 Enrollment ID: I20140924000718 |
| Provider Name | Michelle Ruhnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508278045 PECOS PAC ID: 3779703657 Enrollment ID: I20141007001938 |
| Provider Name | Janice M Bohlim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821499328 PECOS PAC ID: 1951623180 Enrollment ID: I20141125001592 |
| Provider Name | Bradley Goldenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477595239 PECOS PAC ID: 8729121280 Enrollment ID: I20150122000172 |
| Provider Name | Robert W Coats |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1861460081 PECOS PAC ID: 2365419009 Enrollment ID: I20150331001612 |
| Provider Name | Pankaj Chhangani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952364838 PECOS PAC ID: 4385665181 Enrollment ID: I20150410001843 |
| Provider Name | Michelle L Vorice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780884429 PECOS PAC ID: 5597071233 Enrollment ID: I20150826001359 |
| Provider Name | Wasim A Khasawneh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508054446 PECOS PAC ID: 7113187790 Enrollment ID: I20151006000265 |
| Provider Name | Stephanie O Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306224597 PECOS PAC ID: 0941511380 Enrollment ID: I20151124000620 |
| Provider Name | Angel Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417321241 PECOS PAC ID: 0345546719 Enrollment ID: I20160310001334 |
| Provider Name | Omar Perez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538398946 PECOS PAC ID: 9931497732 Enrollment ID: I20161011001828 |
| Provider Name | Leyna Danielle Midkiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831595735 PECOS PAC ID: 0446561872 Enrollment ID: I20161013002170 |
| Provider Name | Keri Jo Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720533201 PECOS PAC ID: 7214217488 Enrollment ID: I20161205000990 |
| Provider Name | Umparrys Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336799 PECOS PAC ID: 8022399161 Enrollment ID: I20170103000765 |
| Provider Name | Kristin M Stok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411576 PECOS PAC ID: 4789968744 Enrollment ID: I20170313000439 |
| Provider Name | Maureen Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700306057 PECOS PAC ID: 9830469147 Enrollment ID: I20170719002693 |
| Provider Name | Mary K Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881114767 PECOS PAC ID: 4981975877 Enrollment ID: I20170811000325 |
| Provider Name | Brittney Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386174530 PECOS PAC ID: 5294000451 Enrollment ID: I20171013002666 |
| Provider Name | Sonia Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669737664 PECOS PAC ID: 9335453141 Enrollment ID: I20171030001546 |
| Provider Name | Magdalena Kotseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326313370 PECOS PAC ID: 8325369192 Enrollment ID: I20171120002603 |
| Provider Name | Nataraj Kasal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912915034 PECOS PAC ID: 1951585397 Enrollment ID: I20180103001558 |
| Provider Name | Raul Altura Guevara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194861054 PECOS PAC ID: 8527006352 Enrollment ID: I20180119001305 |
| Provider Name | Amara D Wright-terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043722622 PECOS PAC ID: 5991067969 Enrollment ID: I20180403001526 |
| Provider Name | Keri Whitcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649777640 PECOS PAC ID: 7911252846 Enrollment ID: I20180618003375 |
| Provider Name | Samuel Eleanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730575200 PECOS PAC ID: 7517213606 Enrollment ID: I20180703000596 |
| Provider Name | Amanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972894087 PECOS PAC ID: 7618194200 Enrollment ID: I20180820000026 |
| Provider Name | Jonathan Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487045399 PECOS PAC ID: 2961715685 Enrollment ID: I20180831000890 |
| Provider Name | Priyanka Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295078418 PECOS PAC ID: 0749582724 Enrollment ID: I20181018000570 |
| Provider Name | Erika Mullens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270102 PECOS PAC ID: 7214280825 Enrollment ID: I20181029003125 |
| Provider Name | Binod Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023365368 PECOS PAC ID: 2567783442 Enrollment ID: I20181031003188 |
| Provider Name | Mohsen R Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316203367 PECOS PAC ID: 0345545893 Enrollment ID: I20190110000164 |
| Provider Name | Clinton Chinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902375215 PECOS PAC ID: 4880934934 Enrollment ID: I20190327002191 |
| Provider Name | Jenee Bhuju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578918108 PECOS PAC ID: 9830432632 Enrollment ID: I20190518000054 |
| Provider Name | Heidi Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205499118 PECOS PAC ID: 8325381932 Enrollment ID: I20190523000407 |
| Provider Name | Mustafa Nakawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717603 PECOS PAC ID: 1153654488 Enrollment ID: I20190531000794 |
| Provider Name | Nesreen Suwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821095936 PECOS PAC ID: 1557303484 Enrollment ID: I20190606002390 |
| Provider Name | Brenda Nnabueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275197311 PECOS PAC ID: 5092058073 Enrollment ID: I20190703002208 |
| Provider Name | Pouya Alijanipour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386032589 PECOS PAC ID: 0042557738 Enrollment ID: I20190716000491 |
| Provider Name | Ted Vellos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497173447 PECOS PAC ID: 2567799471 Enrollment ID: I20190814002762 |
| Provider Name | Lena Modieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659878635 PECOS PAC ID: 5496004939 Enrollment ID: I20191003000352 |
| Provider Name | Terasheika T Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477024404 PECOS PAC ID: 6507197761 Enrollment ID: I20191021000135 |
| Provider Name | Marissa R Bottos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639720972 PECOS PAC ID: 5698107555 Enrollment ID: I20191114000477 |
| Provider Name | Deborah M Curless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044212 PECOS PAC ID: 2961830476 Enrollment ID: I20200317000485 |
| Provider Name | Patricia Biel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063031367 PECOS PAC ID: 3971924648 Enrollment ID: I20200604001813 |
| Provider Name | Majd Kanbour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427346501 PECOS PAC ID: 4284872680 Enrollment ID: I20200630002082 |
| Provider Name | Keva Swopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083257695 PECOS PAC ID: 7113340084 Enrollment ID: I20200710000650 |
| Provider Name | Ammar M Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023428877 PECOS PAC ID: 1951607506 Enrollment ID: I20200717000675 |
| Provider Name | Jovil Kannampuzha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710329776 PECOS PAC ID: 4385871417 Enrollment ID: I20200902002374 |
| Provider Name | Jean E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790383248 PECOS PAC ID: 0345650222 Enrollment ID: I20201104000838 |
| Provider Name | Patricia Grabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069357 PECOS PAC ID: 1658786454 Enrollment ID: I20210208002609 |
| Provider Name | Jasmine Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578167243 PECOS PAC ID: 0840606760 Enrollment ID: I20210301001934 |
| Provider Name | Adeyemi Oyegbade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083107239 PECOS PAC ID: 3476808841 Enrollment ID: I20210817000539 |
| Provider Name | Julijana Obetkovska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818145 PECOS PAC ID: 0547658528 Enrollment ID: I20211109002938 |
| Provider Name | Kim Buford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164193512 PECOS PAC ID: 6305235516 Enrollment ID: I20211109003139 |
| Provider Name | Shannon Lynn Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215550546 PECOS PAC ID: 5193114189 Enrollment ID: I20211112001081 |
| Provider Name | Toya Jamillah Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497382030 PECOS PAC ID: 1557792462 Enrollment ID: I20211201001623 |
| Provider Name | Vijay E Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124123633 PECOS PAC ID: 2062804933 Enrollment ID: I20220126003138 |
| Provider Name | Cristina M Borsilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629739131 PECOS PAC ID: 8921490780 Enrollment ID: I20220128000291 |
| Provider Name | Merlene Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154081602 PECOS PAC ID: 1254728207 Enrollment ID: I20220422000272 |
| Provider Name | Brandy Alicia Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234009 PECOS PAC ID: 5991192825 Enrollment ID: I20220425000950 |
| Provider Name | Nicholas B Wallace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780033928 PECOS PAC ID: 6709147838 Enrollment ID: I20220907002204 |
| Provider Name | Rachael Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396484135 PECOS PAC ID: 8123403961 Enrollment ID: I20220915001233 |
| Provider Name | Mustafa Abdul-hussein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972759173 PECOS PAC ID: 2466620380 Enrollment ID: I20220929000822 |
| Provider Name | Ariel P Brazzale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568992055 PECOS PAC ID: 8921478637 Enrollment ID: I20221221000820 |
| Provider Name | Kristen L Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063921534 PECOS PAC ID: 8426324732 Enrollment ID: I20230103002706 |
| Provider Name | Ursula P Colareta Ugarte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700187531 PECOS PAC ID: 0446474654 Enrollment ID: I20230104002868 |
| Provider Name | Edgar Dizon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932141090 PECOS PAC ID: 1355712555 Enrollment ID: I20230126001774 |
| Provider Name | Joel Stenzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073597175 PECOS PAC ID: 0749290666 Enrollment ID: I20230210000565 |
| Provider Name | Melissa Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518673490 PECOS PAC ID: 2163894585 Enrollment ID: I20230214000396 |
| Provider Name | Edmundo Alejandro Rodriguez-frias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912117912 PECOS PAC ID: 0941363881 Enrollment ID: I20230214001140 |
| Provider Name | Kelli Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962108837 PECOS PAC ID: 3274905518 Enrollment ID: I20230214001311 |
| Provider Name | Victor Francisco Coloso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090038 PECOS PAC ID: 3274636261 Enrollment ID: I20230303002012 |
| Provider Name | Leonard M Golub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437192549 PECOS PAC ID: 0143115055 Enrollment ID: I20230331001118 |
| Provider Name | Sarah Beth Younger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568564607 PECOS PAC ID: 4082801642 Enrollment ID: I20230331001242 |
| Provider Name | Alexander J Eason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306229182 PECOS PAC ID: 5395111561 Enrollment ID: I20230331001613 |
| Provider Name | Nasirudden Mansury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184764706 PECOS PAC ID: 3779636949 Enrollment ID: I20230410000345 |
| Provider Name | Mohamed Anwar Babiker Hamza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760938971 PECOS PAC ID: 0345625471 Enrollment ID: I20230412002650 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20230420002317 |
| Provider Name | Khaled Kashlan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346602471 PECOS PAC ID: 5496159881 Enrollment ID: I20230618000043 |
| Provider Name | Porsche West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992491906 PECOS PAC ID: 0345608212 Enrollment ID: I20230626000505 |
| Provider Name | Siddharth Arvind Kakodkar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548306533 PECOS PAC ID: 3870689516 Enrollment ID: I20230629000294 |
| Provider Name | Marcel Ghanim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407387061 PECOS PAC ID: 3577822055 Enrollment ID: I20230905000127 |
| Provider Name | Sophia Addy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730610684 PECOS PAC ID: 9931505641 Enrollment ID: I20240103000388 |
| Provider Name | Ana Davette Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689233835 PECOS PAC ID: 3173955358 Enrollment ID: I20240105001058 |
| Provider Name | Muhammad Alsayid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326356411 PECOS PAC ID: 0345470027 Enrollment ID: I20240226002399 |
| Provider Name | Bayan Alsuleiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760821748 PECOS PAC ID: 8729380761 Enrollment ID: I20240227003411 |
| Provider Name | Christopher Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104507730 PECOS PAC ID: 7113367079 Enrollment ID: I20240425003852 |
| Provider Name | Tracey Huijun Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174055784 PECOS PAC ID: 2860761327 Enrollment ID: I20240528002368 |
| Provider Name | Heather Hofstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748950 PECOS PAC ID: 9931328150 Enrollment ID: I20240628002728 |
| Provider Name | Myra Jeen Sikwata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083111777 PECOS PAC ID: 2860936952 Enrollment ID: I20240701000652 |
| Provider Name | Amelia H Teas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225662448 PECOS PAC ID: 3678904687 Enrollment ID: I20240722001030 |
| Provider Name | Helen H Xiao-li |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538157946 PECOS PAC ID: 4385749530 Enrollment ID: I20240731000354 |
| Provider Name | Jill A Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619712304 PECOS PAC ID: 7810436169 Enrollment ID: I20240829004139 |
| Provider Name | Mitchell J Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831543602 PECOS PAC ID: 3577857242 Enrollment ID: I20240910003992 |
| Provider Name | Ashley Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669049078 PECOS PAC ID: 9537551387 Enrollment ID: I20241212003478 |
Ig Health & Vitality Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Bigger St, Gary, IN 46404 Phone: 219-201-5597 | |
Premier Hospitalist Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Grant St, Gary, IN 46402 Phone: 708-288-3452 Fax: 708-401-0050 | |
Comprehensive Safety, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7501 W 15th Ave, Gary, IN 46406 Phone: 219-977-2090 Fax: 219-977-2094 | |