| Porter Physician Services Llc | |
|
650 Dickinson Rd Suite A Chesterton IN 46304-3387 | |
| (219) 926-2133 | |
| (219) 926-8765 |
| Full Name | Porter Physician Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 650 Dickinson Rd, Chesterton, Indiana |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Physician Services Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7402 | Porter Physician Services Llc 650 Dickinson Rd Suite A Chesterton IN 46304-3387 Ph: (219) 926-2133 |
| NPI Number | 1508075680 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 06/08/2022 |
| Medicare PECOS PAC ID | 1850482407 |
|---|---|
| Medicare Enrollment ID | O20070810000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508075680 | NPI | - | NPPES |
| 5251392 | Other | IN | AETNA |
| 113435 | Other | IN | ANTHEM MEDICAID |
| 100388930 | Medicaid | IN | |
| DG1244 | Other | IN | RR MCR |
| Provider Name | Richard H Strawsburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851300909 PECOS PAC ID: 1759287774 Enrollment ID: I20031210000746 |
| Provider Name | Theodore L Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043202567 PECOS PAC ID: 1052213725 Enrollment ID: I20040122001175 |
| Provider Name | Leonard W Ostrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881691947 PECOS PAC ID: 7113992884 Enrollment ID: I20040827000242 |
| Provider Name | Candice O Yu-fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780645093 PECOS PAC ID: 0143281162 Enrollment ID: I20041022000921 |
| Provider Name | Michael James Keenan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558332197 PECOS PAC ID: 5890756076 Enrollment ID: I20041025000792 |
| Provider Name | Amy Lorraine Sobas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205872132 PECOS PAC ID: 4587628201 Enrollment ID: I20041112000850 |
| Provider Name | Baqhar Mohideen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780742353 PECOS PAC ID: 0648224543 Enrollment ID: I20050303000426 |
| Provider Name | Raghuram Dasari |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417939885 PECOS PAC ID: 3678520327 Enrollment ID: I20050405000418 |
| Provider Name | Sandeep Sehgal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326066218 PECOS PAC ID: 0840250908 Enrollment ID: I20050414001189 |
| Provider Name | Kimberly Florentine Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861453565 PECOS PAC ID: 8426097312 Enrollment ID: I20050429000539 |
| Provider Name | Daniela M Sikoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932160215 PECOS PAC ID: 1759320658 Enrollment ID: I20050429000576 |
| Provider Name | Adil Keskin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790754521 PECOS PAC ID: 6002857414 Enrollment ID: I20050516001002 |
| Provider Name | Billie A Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508837782 PECOS PAC ID: 7214978501 Enrollment ID: I20050517000745 |
| Provider Name | Ender A Akan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487658282 PECOS PAC ID: 1254375447 Enrollment ID: I20050617001005 |
| Provider Name | Mary Y Klein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518966589 PECOS PAC ID: 1557265790 Enrollment ID: I20050720000986 |
| Provider Name | Sangeeta D Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992766224 PECOS PAC ID: 1759319155 Enrollment ID: I20050727000887 |
| Provider Name | Stephen H Paul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821060286 PECOS PAC ID: 8325092471 Enrollment ID: I20050802000096 |
| Provider Name | Heather Stephanie Hazel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912968504 PECOS PAC ID: 6901831122 Enrollment ID: I20050928000873 |
| Provider Name | James E Turk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982608436 PECOS PAC ID: 5597733758 Enrollment ID: I20060329000761 |
| Provider Name | Louis A Miceli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679578272 PECOS PAC ID: 4880606334 Enrollment ID: I20060626000345 |
| Provider Name | Sudhakar R Garlapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770518664 PECOS PAC ID: 8729080312 Enrollment ID: I20070212000148 |
| 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 | Patrick D Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669433256 PECOS PAC ID: 5597856955 Enrollment ID: I20070814000584 |
| Provider Name | Deborah A Novak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740485606 PECOS PAC ID: 0547349680 Enrollment ID: I20080501000005 |
| Provider Name | Ranga Rao Kota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932145745 PECOS PAC ID: 1850332933 Enrollment ID: I20080929000488 |
| Provider Name | Douglas A Mazurek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033223235 PECOS PAC ID: 7012953383 Enrollment ID: I20081120000417 |
| Provider Name | Julia L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548422348 PECOS PAC ID: 3870653884 Enrollment ID: I20081120000681 |
| Provider Name | Brandi Ross-douglas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588779904 PECOS PAC ID: 0941205876 Enrollment ID: I20090415000079 |
| Provider Name | Chantel K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235369380 PECOS PAC ID: 2668412479 Enrollment ID: I20091001000005 |
| Provider Name | Walid Khabbaz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669563342 PECOS PAC ID: 9234279712 Enrollment ID: I20091214000445 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20091223000350 |
| 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 | Mark E Ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609939511 PECOS PAC ID: 4587799093 Enrollment ID: I20100322000763 |
| Provider Name | Nancy C Han |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215962253 PECOS PAC ID: 4486655396 Enrollment ID: I20100518000113 |
| Provider Name | Roland Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356346027 PECOS PAC ID: 1951204312 Enrollment ID: I20100521000732 |
| Provider Name | Michael Md Nemeth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730184813 PECOS PAC ID: 3779486147 Enrollment ID: I20100521000807 |
| Provider Name | D David Vanderlugt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265467476 PECOS PAC ID: 4486610342 Enrollment ID: I20100809000484 |
| Provider Name | Arthur Reeves Crowley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326150079 PECOS PAC ID: 6002957941 Enrollment ID: I20100917000923 |
| Provider Name | Crystal I Tuncay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992790414 PECOS PAC ID: 9739371964 Enrollment ID: I20101006001104 |
| Provider Name | Geraldine G Feria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679764492 PECOS PAC ID: 5597957605 Enrollment ID: I20101007000925 |
| Provider Name | Faleh Atassi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346322393 PECOS PAC ID: 8325222714 Enrollment ID: I20110408000528 |
| 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 | Derek Gasper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770748717 PECOS PAC ID: 9931389798 Enrollment ID: I20110719000140 |
| Provider Name | Michael F Mirochna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770747263 PECOS PAC ID: 8426227828 Enrollment ID: I20110801000401 |
| Provider Name | Akshay R Trivedi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114175288 PECOS PAC ID: 0547432486 Enrollment ID: I20111018000775 |
| Provider Name | Sunil N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467501601 PECOS PAC ID: 8921272550 Enrollment ID: I20111117000167 |
| Provider Name | James P Anthony |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639356025 PECOS PAC ID: 1557555869 Enrollment ID: I20120718000912 |
| Provider Name | Geoffrey Michael Schwartz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023272515 PECOS PAC ID: 9739324989 Enrollment ID: I20130318000478 |
| Provider Name | Alejandro A Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801873435 PECOS PAC ID: 3274728357 Enrollment ID: I20130905000866 |
| Provider Name | Jay D Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134450737 PECOS PAC ID: 2961675897 Enrollment ID: I20131002000095 |
| Provider Name | Sarah D Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255778627 PECOS PAC ID: 1759516941 Enrollment ID: I20131023002267 |
| Provider Name | Kimberland Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871738583 PECOS PAC ID: 6103964630 Enrollment ID: I20140110001163 |
| Provider Name | Timothy James Redden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194915835 PECOS PAC ID: 9739360652 Enrollment ID: I20140207001623 |
| Provider Name | Helen Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619391364 PECOS PAC ID: 8921231747 Enrollment ID: I20140501002009 |
| 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 | Hector Marchand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134474091 PECOS PAC ID: 0749419703 Enrollment ID: I20150811005677 |
| Provider Name | Norma Ramey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831332766 PECOS PAC ID: 4587800420 Enrollment ID: I20150819006518 |
| 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 | Elizabeth Sobczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225306830 PECOS PAC ID: 2961705793 Enrollment ID: I20160128000101 |
| Provider Name | Sylvia Oudhuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265899835 PECOS PAC ID: 5890090526 Enrollment ID: I20160218000116 |
| Provider Name | Vijaya Kumari Chapala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174573281 PECOS PAC ID: 2668666868 Enrollment ID: I20160623001468 |
| Provider Name | Kajal Patel Puranik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891135620 PECOS PAC ID: 7113225392 Enrollment ID: I20160803000058 |
| Provider Name | Shalini S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598106585 PECOS PAC ID: 4587983424 Enrollment ID: I20160926000935 |
| Provider Name | Keri Jo Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720533201 PECOS PAC ID: 7214217488 Enrollment ID: I20161205000990 |
| Provider Name | Tiffany R Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750823795 PECOS PAC ID: 1355624362 Enrollment ID: I20170216000706 |
| Provider Name | Myrna P Orbana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588776819 PECOS PAC ID: 8729269873 Enrollment ID: I20170321001727 |
| Provider Name | Tareq Braik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508174376 PECOS PAC ID: 9830347285 Enrollment ID: I20170515000027 |
| Provider Name | Helda Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154571529 PECOS PAC ID: 1254527443 Enrollment ID: I20170522001004 |
| Provider Name | Jessica L Wisdom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790205292 PECOS PAC ID: 8426321142 Enrollment ID: I20170831001614 |
| Provider Name | Krishna S Ayyagari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336400019 PECOS PAC ID: 3072882323 Enrollment ID: I20170928002008 |
| Provider Name | Genri Pinkhasov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639370893 PECOS PAC ID: 3870749997 Enrollment ID: I20171018000453 |
| Provider Name | Michael Hansen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053548495 PECOS PAC ID: 8628210390 Enrollment ID: I20171031000243 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20171214002580 |
| Provider Name | Irtaza I Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538346200 PECOS PAC ID: 6709014889 Enrollment ID: I20180213002712 |
| Provider Name | Allison Witte |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912310517 PECOS PAC ID: 9436377835 Enrollment ID: I20180226001122 |
| Provider Name | Hadi Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639361413 PECOS PAC ID: 3274796560 Enrollment ID: I20180314000025 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20180320001439 |
| Provider Name | Anshuman Das |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518255124 PECOS PAC ID: 7810110673 Enrollment ID: I20180810001500 |
| Provider Name | Zakiya Douglas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386940781 PECOS PAC ID: 8628229077 Enrollment ID: I20181120003270 |
| Provider Name | Cristina Lubash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366961757 PECOS PAC ID: 6901140763 Enrollment ID: I20181205000298 |
| Provider Name | Rebecca Joy Groen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070009 PECOS PAC ID: 1254671993 Enrollment ID: I20190318000156 |
| Provider Name | Andrew J Putnam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649616582 PECOS PAC ID: 1153621727 Enrollment ID: I20190501003434 |
| Provider Name | Stephanie Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20190520002008 |
| Provider Name | Shishir Ojha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225223803 PECOS PAC ID: 3779711213 Enrollment ID: I20190521003085 |
| Provider Name | Michelle Marie Dicostanzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053764936 PECOS PAC ID: 7810281540 Enrollment ID: I20190727000249 |
| 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 | David M Butler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699861518 PECOS PAC ID: 6901904234 Enrollment ID: I20191011000286 |
| 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 | Chad Anthony Bogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508411315 PECOS PAC ID: 3870927791 Enrollment ID: I20200102000365 |
| Provider Name | Abigail Mae Boersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540303 PECOS PAC ID: 5294160883 Enrollment ID: I20200108000884 |
| Provider Name | Zaid A Shakir |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538450952 PECOS PAC ID: 6800012865 Enrollment ID: I20200128003199 |
| Provider Name | Anish Chopra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962616409 PECOS PAC ID: 0749337863 Enrollment ID: I20200203000432 |
| 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 | Tarek Saleh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790915544 PECOS PAC ID: 5597915959 Enrollment ID: I20200422001851 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20200428002118 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20200522001115 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20200522002454 |
| Provider Name | Ippei Takagi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619144391 PECOS PAC ID: 3779717459 Enrollment ID: I20200616002883 |
| Provider Name | Shaun Sadruddin Mehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851812572 PECOS PAC ID: 4385067321 Enrollment ID: I20200708003546 |
| Provider Name | Ramla Farooq Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922529254 PECOS PAC ID: 3375968829 Enrollment ID: I20200731000892 |
| Provider Name | Shazia Shivji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639681018 PECOS PAC ID: 0648690784 Enrollment ID: I20201012001596 |
| Provider Name | Daniel Raeff Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396344487 PECOS PAC ID: 6002226305 Enrollment ID: I20201027002298 |
| Provider Name | Issa Rezek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730507427 PECOS PAC ID: 7416276365 Enrollment ID: I20210301001007 |
| Provider Name | Taylor Drake Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669835963 PECOS PAC ID: 2567755622 Enrollment ID: I20210323000827 |
| Provider Name | Joelle Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922529973 PECOS PAC ID: 4183058217 Enrollment ID: I20210409001280 |
| Provider Name | Setri Fugar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891175915 PECOS PAC ID: 6103122254 Enrollment ID: I20210728001620 |
| Provider Name | Daniel Owen Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164781514 PECOS PAC ID: 5799921953 Enrollment ID: I20210730001380 |
| Provider Name | Stella Bo Sun Kyung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184034878 PECOS PAC ID: 3476821935 Enrollment ID: I20210805000877 |
| 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 | Rafael Vidal Mora |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760444707 PECOS PAC ID: 5991978314 Enrollment ID: I20211122000644 |
| Provider Name | Roxanne Bielak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982010 PECOS PAC ID: 2567852114 Enrollment ID: I20211214001328 |
| Provider Name | Joel D Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811654007 PECOS PAC ID: 3173914793 Enrollment ID: I20211215001310 |
| Provider Name | Savannah Marie Comstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770244469 PECOS PAC ID: 7416340450 Enrollment ID: I20220215001433 |
| Provider Name | Megan Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902565831 PECOS PAC ID: 1557755519 Enrollment ID: I20220308002450 |
| Provider Name | Noel P Curcio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053322172 PECOS PAC ID: 7214948199 Enrollment ID: I20220507000248 |
| Provider Name | Alexandru Marginean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669829354 PECOS PAC ID: 8224329818 Enrollment ID: I20220705000118 |
| Provider Name | Christopher L Petrey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245551795 PECOS PAC ID: 6002052644 Enrollment ID: I20220719002332 |
| Provider Name | Andrew House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521697 PECOS PAC ID: 4981934338 Enrollment ID: I20220725000255 |
| Provider Name | Bhuvaneshwari Dakshinamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881122562 PECOS PAC ID: 1153759568 Enrollment ID: I20220929002779 |
| 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 | Jennifer Leigh Defauw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548982812 PECOS PAC ID: 0345610663 Enrollment ID: I20230103001625 |
| Provider Name | Jennifer Aversano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568109254 PECOS PAC ID: 1355715186 Enrollment ID: I20230319000047 |
| Provider Name | Ajoe John Kattoor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659754422 PECOS PAC ID: 3476869744 Enrollment ID: I20230621002189 |
| Provider Name | Kewan Hamid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366896706 PECOS PAC ID: 6103112255 Enrollment ID: I20230626003328 |
| Provider Name | Michael Schwuchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881371136 PECOS PAC ID: 4688035587 Enrollment ID: I20230725001335 |
| Provider Name | Chike Floyd Okolocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851915342 PECOS PAC ID: 0244694180 Enrollment ID: I20230912000928 |
| Provider Name | Mohamad Khair Khasawneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467403006 PECOS PAC ID: 2163429432 Enrollment ID: I20230926000688 |
| Provider Name | Asia Filatov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982193231 PECOS PAC ID: 3476808668 Enrollment ID: I20231211001626 |
| Provider Name | Nasser Elsouri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609885151 PECOS PAC ID: 5395704704 Enrollment ID: I20231212002620 |
| 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 | Adam Cordray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467867176 PECOS PAC ID: 5890080063 Enrollment ID: I20240117001699 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487828653 PECOS PAC ID: 1759568389 Enrollment ID: I20240408000886 |
Transitional Hospitalist Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Plaza Dr Ste 2-252, Chesterton, IN 46304 Phone: 630-660-1442 | |
Elite Family Nurse Practitioners, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W Indiana Ave, Chesterton, IN 46304 Phone: 219-728-6562 Fax: 219-728-6564 | |
Westchester Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Dickinson Rd, Suite A, Chesterton, IN 46304 Phone: 219-926-2133 Fax: 219-926-8875 | |
Nirmala Murugavel Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Sand Creek Dr, Chesterton, IN 46304 Phone: 219-395-9353 Fax: 219-395-9147 | |
Marathon Health Chesterton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Village Pt, Chesterton, IN 46304 Phone: 317-559-2055 | |
Sunil Patel Md. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 Phone: 219-926-6717 Fax: 219-926-7472 |