Northeast Internal Medicine Associates, Pc | |
2500 N Detroit St Lagrange IN 46761-1158 | |
(260) 463-2133 | |
(260) 463-3775 |
Full Name | Northeast Internal Medicine Associates, Pc |
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Speciality | Internal Medicine |
Location | 2500 N Detroit St, Lagrange, Indiana |
Authorized Official Name and Position | Shashank Nmi Kashyap (PRESIDENT/OWNER) |
Authorized Official Contact | 2604632133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northeast Internal Medicine Associates, Pc Po Box 236 Lagrange IN 46761-0236 Ph: (260) 463-2133 | Northeast Internal Medicine Associates, Pc 2500 N Detroit St Lagrange IN 46761-1158 Ph: (260) 463-2133 |
NPI Number | 1174518500 |
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Provider Enumeration Date | 09/12/2005 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 7113830688 |
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Medicare Enrollment ID | O20031111000068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174518500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Abdali Shakoor Jan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124013578 PECOS PAC ID: 6406750652 Enrollment ID: I20031120000547 |
Provider Name | Shashank N Kashyap |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548255961 PECOS PAC ID: 1456264928 Enrollment ID: I20040407000283 |
Provider Name | Vijay G Kamineni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043278294 PECOS PAC ID: 9133137961 Enrollment ID: I20060405000163 |
Provider Name | Shilpa Kashyap |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003888116 PECOS PAC ID: 7618034349 Enrollment ID: I20091002000375 |
Provider Name | Stefanie I Shire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902119159 PECOS PAC ID: 0345364915 Enrollment ID: I20100902001180 |
Provider Name | Pekkakuzhiyil M Mathew |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578507539 PECOS PAC ID: 6901015361 Enrollment ID: I20101109000077 |
Provider Name | Emily D Hurst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588916340 PECOS PAC ID: 3971755653 Enrollment ID: I20121203000298 |
Provider Name | Musa Abdalla |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548552375 PECOS PAC ID: 5193957520 Enrollment ID: I20140416002392 |
Provider Name | Bobbi J Mehta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689050726 PECOS PAC ID: 4486968245 Enrollment ID: I20150806012116 |
Provider Name | Jena N Chopson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679948160 PECOS PAC ID: 7113225855 Enrollment ID: I20160414000182 |
Provider Name | Kamran Mushtaq |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417397589 PECOS PAC ID: 5294046934 Enrollment ID: I20160722001373 |
Provider Name | Courtney L Boggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861844037 PECOS PAC ID: 3870886211 Enrollment ID: I20160722001888 |
Provider Name | Carole S Buchs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962941054 PECOS PAC ID: 4688958721 Enrollment ID: I20170308002806 |
Provider Name | Ahad Ayaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497160642 PECOS PAC ID: 3678884400 Enrollment ID: I20170801001399 |
Provider Name | Lauren N Fiandt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114449329 PECOS PAC ID: 0547531691 Enrollment ID: I20170808000612 |
Provider Name | Megan M Buuck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578054193 PECOS PAC ID: 0244251304 Enrollment ID: I20180706000807 |
Provider Name | Rishabh Gupta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790168110 PECOS PAC ID: 0648572743 Enrollment ID: I20180814000332 |
Provider Name | Brittney M Harmeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700430527 PECOS PAC ID: 8921336090 Enrollment ID: I20190827003802 |
Provider Name | Heather Kaye Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821644659 PECOS PAC ID: 5395075113 Enrollment ID: I20190920002716 |
Provider Name | Kathryn M. Mckible |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407481468 PECOS PAC ID: 6204265705 Enrollment ID: I20200404000023 |
Provider Name | Vipul Gidwani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235649948 PECOS PAC ID: 2365864691 Enrollment ID: I20200615002931 |
Provider Name | Courtney Riecken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649809732 PECOS PAC ID: 2567884836 Enrollment ID: I20200616001242 |
Provider Name | Justin Asher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427646405 PECOS PAC ID: 7810302585 Enrollment ID: I20210211001253 |
Provider Name | Paraschos Archontakis Barakakis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457872269 PECOS PAC ID: 4183024375 Enrollment ID: I20210609001701 |
Provider Name | Decoma Nicole Cavender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750954178 PECOS PAC ID: 2567865702 Enrollment ID: I20210726000869 |
Provider Name | Kari Ann Rader |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205591856 PECOS PAC ID: 9032500772 Enrollment ID: I20220106002123 |
Provider Name | Chelsea Lauren Maucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003353038 PECOS PAC ID: 4486047610 Enrollment ID: I20220210000369 |
Provider Name | Jillian Alexandra Early |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871226035 PECOS PAC ID: 9638554165 Enrollment ID: I20220919002740 |
Provider Name | Blake Sue Ann Weimer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023732443 PECOS PAC ID: 9830568856 Enrollment ID: I20221214002793 |
Provider Name | Muhammad Bilal Mahmood |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124670419 PECOS PAC ID: 2062810427 Enrollment ID: I20230504002058 |
Provider Name | Aditi Bawa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184240269 PECOS PAC ID: 2961822416 Enrollment ID: I20230518001798 |
Provider Name | Isaac Gerardo Leon-acuna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548887714 PECOS PAC ID: 9234553199 Enrollment ID: I20230522001227 |
Provider Name | Sadikshya Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285244830 PECOS PAC ID: 3678939493 Enrollment ID: I20230522002013 |
Provider Name | Maria Grabner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508553264 PECOS PAC ID: 1850757444 Enrollment ID: I20230524002485 |
Provider Name | Rebekah A Rakoczy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336828961 PECOS PAC ID: 0749641694 Enrollment ID: I20230725003480 |
Provider Name | Tiffany Nicole Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336911171 PECOS PAC ID: 2365891629 Enrollment ID: I20231212001299 |
Provider Name | Brooke Marie Keene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144096363 PECOS PAC ID: 6103277157 Enrollment ID: I20240104000505 |
Provider Name | Maura Rebecca Hantz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548038383 PECOS PAC ID: 8325491061 Enrollment ID: I20240129003354 |
Provider Name | Audrey Lee Fazio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821850793 PECOS PAC ID: 9537507231 Enrollment ID: I20240401000856 |
Lagrange Surgery Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Ventura Way, Lagrange, IN 46761 Phone: 574-296-6452 Fax: 574-296-6484 | |
Booth Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Detroit St, Lagrange, IN 46761 Phone: 260-463-4896 Fax: 260-463-5242 | |
Redi-care Inc P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Sharp Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Detroit St, Lagrange, IN 46761 Phone: 260-463-4896 Fax: 260-463-5242 |