Witham Health Services | |
2605 N Lebanon St Lebanon IN 46052-1476 | |
(765) 485-8000 | |
Not Available |
Full Name | Witham Health Services |
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Speciality | Family Medicine |
Location | 2605 N Lebanon St, Lebanon, Indiana |
Authorized Official Name and Position | Kelly Braverman (CEO, PRESIDENT) |
Authorized Official Contact | 7654858100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Witham Health Services 2605 N Lebanon St Lebanon IN 46052-1476 Ph: () - | Witham Health Services 2605 N Lebanon St Lebanon IN 46052-1476 Ph: (765) 485-8000 |
NPI Number | 1083750293 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 07/02/2024 |
Medicare PECOS PAC ID | 4082523170 |
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Medicare Enrollment ID | O20040519001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083750293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Harold J Hileman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730129032 PECOS PAC ID: 2062319478 Enrollment ID: I20031215000588 |
Provider Name | Kelley I Gibbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124211073 PECOS PAC ID: 4284527946 Enrollment ID: I20040205000869 |
Provider Name | Mark J Janicki |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1588661409 PECOS PAC ID: 3476548744 Enrollment ID: I20040416000467 |
Provider Name | Kara Dian Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679510440 PECOS PAC ID: 7810961620 Enrollment ID: I20040825001274 |
Provider Name | John Curtis Tuttle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194712877 PECOS PAC ID: 6204895543 Enrollment ID: I20041004000562 |
Provider Name | Edward A Harlamert |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1790739480 PECOS PAC ID: 9739155888 Enrollment ID: I20041005000103 |
Provider Name | Matthew T Bobzien |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962508812 PECOS PAC ID: 2567421324 Enrollment ID: I20041007000183 |
Provider Name | Tricia Lynn Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851388540 PECOS PAC ID: 1355374307 Enrollment ID: I20050912000567 |
Provider Name | Justin David Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386613909 PECOS PAC ID: 2668484080 Enrollment ID: I20060628000254 |
Provider Name | Christopher J Huffer |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1932234325 PECOS PAC ID: 3476653130 Enrollment ID: I20070710000695 |
Provider Name | Zulfiqar A Mirza |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1518021773 PECOS PAC ID: 7315039864 Enrollment ID: I20070828001031 |
Provider Name | Dawn M Ayers |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1306823513 PECOS PAC ID: 2668567280 Enrollment ID: I20070927000477 |
Provider Name | Terrance C Devlin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861460958 PECOS PAC ID: 5496732497 Enrollment ID: I20071210000162 |
Provider Name | Daniel L Shull |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508931650 PECOS PAC ID: 9830288117 Enrollment ID: I20071210000431 |
Provider Name | Jennifer D Jackson Filson |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1508826835 PECOS PAC ID: 3274605399 Enrollment ID: I20080708000025 |
Provider Name | Deanna L Stopperich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902076284 PECOS PAC ID: 7416029459 Enrollment ID: I20080708000379 |
Provider Name | Cynthia Se Cradler |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1093917619 PECOS PAC ID: 5193886158 Enrollment ID: I20081209000419 |
Provider Name | John M Chappo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1730347022 PECOS PAC ID: 8527123447 Enrollment ID: I20090210000227 |
Provider Name | Crystal L Jones |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1356307003 PECOS PAC ID: 5698830784 Enrollment ID: I20090225000110 |
Provider Name | Robert B Arthur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376531798 PECOS PAC ID: 5799835518 Enrollment ID: I20090616000536 |
Provider Name | Michael C Knox |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1407063449 PECOS PAC ID: 4880746452 Enrollment ID: I20090711000026 |
Provider Name | Daniel E Kraft |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1346294121 PECOS PAC ID: 8224179270 Enrollment ID: I20100113000080 |
Provider Name | George Alexander Elmes |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487628822 PECOS PAC ID: 6204970627 Enrollment ID: I20100223000165 |
Provider Name | Kevin Boone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376869669 PECOS PAC ID: 3274665393 Enrollment ID: I20100724000046 |
Provider Name | Scott R Kilberg |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1841291622 PECOS PAC ID: 5193852408 Enrollment ID: I20100825000219 |
Provider Name | Conor James Dwyer |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1942467568 PECOS PAC ID: 7012100464 Enrollment ID: I20101019000356 |
Provider Name | Ted R Winkler |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750375689 PECOS PAC ID: 1052508215 Enrollment ID: I20101214000650 |
Provider Name | Sara Stephenson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497717557 PECOS PAC ID: 2860423324 Enrollment ID: I20101227000104 |
Provider Name | Vincent M Pokrifcak |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437119369 PECOS PAC ID: 9638350457 Enrollment ID: I20110225000623 |
Provider Name | Craig J Wilson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1407830318 PECOS PAC ID: 8820129331 Enrollment ID: I20110415000241 |
Provider Name | Michael Jason Hornbecker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619138096 PECOS PAC ID: 5496932980 Enrollment ID: I20110609000595 |
Provider Name | Kristin E Hillhouse |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881894731 PECOS PAC ID: 4183892862 Enrollment ID: I20110725000223 |
Provider Name | James Anthony Boudreau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215923941 PECOS PAC ID: 1254502909 Enrollment ID: I20110929000204 |
Provider Name | Brian W Buoscio |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912994534 PECOS PAC ID: 1052585908 Enrollment ID: I20111111000074 |
Provider Name | Mindy M Ho |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1346496932 PECOS PAC ID: 0143413203 Enrollment ID: I20111222000160 |
Provider Name | Robert W Mccarty |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639163322 PECOS PAC ID: 9436325370 Enrollment ID: I20111227000665 |
Provider Name | Alice C Otto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841594025 PECOS PAC ID: 3274709894 Enrollment ID: I20120104000102 |
Provider Name | Susan A Yearling |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1619194073 PECOS PAC ID: 3779759923 Enrollment ID: I20120110000533 |
Provider Name | Rhys T Schmidt |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1366544868 PECOS PAC ID: 5395728323 Enrollment ID: I20120125000391 |
Provider Name | Ronda George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801037163 PECOS PAC ID: 1456518919 Enrollment ID: I20120210000524 |
Provider Name | Neha S Gavin |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1528226321 PECOS PAC ID: 0840442612 Enrollment ID: I20121203000063 |
Provider Name | Emma J Nordstrom |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003136011 PECOS PAC ID: 3173775699 Enrollment ID: I20121210000140 |
Provider Name | Steven L Perkins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730315953 PECOS PAC ID: 0941108435 Enrollment ID: I20130104000182 |
Provider Name | Della J Busby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215039144 PECOS PAC ID: 0446211726 Enrollment ID: I20130114000416 |
Provider Name | Mitchell L Carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104156801 PECOS PAC ID: 5395982672 Enrollment ID: I20130503000381 |
Provider Name | Max E Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750606125 PECOS PAC ID: 3678710928 Enrollment ID: I20130506000438 |
Provider Name | Paul David Warrick |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1790770097 PECOS PAC ID: 7416948161 Enrollment ID: I20130816000386 |
Provider Name | Nickolas R Frechette |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1891010294 PECOS PAC ID: 6103069349 Enrollment ID: I20130906000755 |
Provider Name | Annette Christine Fearnot - Kligerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609191998 PECOS PAC ID: 0446485775 Enrollment ID: I20131022002251 |
Provider Name | Tehniat Haider |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1396905782 PECOS PAC ID: 9335318310 Enrollment ID: I20140508001531 |
Provider Name | Stacie N Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760809552 PECOS PAC ID: 3779706577 Enrollment ID: I20140523001279 |
Provider Name | Michael J Cloud |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619262656 PECOS PAC ID: 9234377201 Enrollment ID: I20140718001105 |
Provider Name | Christopher D Gray |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861809527 PECOS PAC ID: 8820215163 Enrollment ID: I20140811002302 |
Provider Name | Nicholas R Osborne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104220078 PECOS PAC ID: 4981826625 Enrollment ID: I20141112001205 |
Provider Name | Chad Hartman Meshberger |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1306167424 PECOS PAC ID: 6002051505 Enrollment ID: I20150309001002 |
Provider Name | Benjamin D Brewster |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1316100423 PECOS PAC ID: 7810134525 Enrollment ID: I20150504001937 |
Provider Name | William R Strong |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598083644 PECOS PAC ID: 0749500676 Enrollment ID: I20150518000466 |
Provider Name | Christine N Tran |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1851666036 PECOS PAC ID: 1658515606 Enrollment ID: I20150730011084 |
Provider Name | Alicia Diane Hensley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346619715 PECOS PAC ID: 1557679412 Enrollment ID: I20150928000512 |
Provider Name | Mihai Dan Muraru |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629209317 PECOS PAC ID: 5496971673 Enrollment ID: I20160318001997 |
Provider Name | Emily J Lo |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1326365024 PECOS PAC ID: 8426361494 Enrollment ID: I20160531000037 |
Provider Name | Zachary N Gordon |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1790075851 PECOS PAC ID: 4587805841 Enrollment ID: I20160628002667 |
Provider Name | Benjamin Nabil Gayed |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1205061942 PECOS PAC ID: 0547407496 Enrollment ID: I20160725000219 |
Provider Name | Staci J Sides |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023567823 PECOS PAC ID: 1850670357 Enrollment ID: I20161123001583 |
Provider Name | Brandon J Horn |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1043518970 PECOS PAC ID: 8123312295 Enrollment ID: I20170814001344 |
Provider Name | Nizar Fayez Olabi |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1023004504 PECOS PAC ID: 3274529409 Enrollment ID: I20180103000320 |
Provider Name | Allison R Shrack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053858621 PECOS PAC ID: 9335400464 Enrollment ID: I20180306000131 |
Provider Name | Leslie M Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851896260 PECOS PAC ID: 1052676129 Enrollment ID: I20180521002889 |
Provider Name | Mirza M Baig |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1134371487 PECOS PAC ID: 2567651938 Enrollment ID: I20180607000736 |
Provider Name | Hannah Ziker Croffie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447744354 PECOS PAC ID: 0648526913 Enrollment ID: I20180629001199 |
Provider Name | Jessica A Lipp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144713934 PECOS PAC ID: 5092064097 Enrollment ID: I20180824001329 |
Provider Name | Christopher Green |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902284342 PECOS PAC ID: 1355652256 Enrollment ID: I20180918002800 |
Provider Name | Andrew N Sollars |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104179407 PECOS PAC ID: 4082950241 Enrollment ID: I20190108003326 |
Provider Name | Jathan L Rhoads |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962985192 PECOS PAC ID: 2062750946 Enrollment ID: I20190219002990 |
Provider Name | Todd Ziegler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174003982 PECOS PAC ID: 7416295308 Enrollment ID: I20190219003039 |
Provider Name | Lindsay Ketzner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366805509 PECOS PAC ID: 3971894593 Enrollment ID: I20191010001937 |
Provider Name | Jessica M Bingham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427617810 PECOS PAC ID: 5991132615 Enrollment ID: I20200219000332 |
Provider Name | Caprice Gilpin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114377595 PECOS PAC ID: 7214220862 Enrollment ID: I20200814001342 |
Provider Name | Cassandra Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316580657 PECOS PAC ID: 4082030986 Enrollment ID: I20200821000611 |
Provider Name | David W Pison |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487183430 PECOS PAC ID: 4284902800 Enrollment ID: I20200826003421 |
Provider Name | Christina L Cohee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124645536 PECOS PAC ID: 6608295589 Enrollment ID: I20200925001056 |
Provider Name | Nicole C Clark |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083110225 PECOS PAC ID: 6305191461 Enrollment ID: I20210727000749 |
Provider Name | Amanda Michelle Christmas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235804261 PECOS PAC ID: 8628474467 Enrollment ID: I20210902002230 |
Provider Name | Sarah Elizabeth Schiferl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700458064 PECOS PAC ID: 3678961216 Enrollment ID: I20211101000891 |
Provider Name | Alec James Turner |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568922995 PECOS PAC ID: 3577898253 Enrollment ID: I20220510002276 |
Provider Name | Brandon John Heeger |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1356734503 PECOS PAC ID: 4981952439 Enrollment ID: I20220516001053 |
Provider Name | Breanna N Oakes |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1770221012 PECOS PAC ID: 1557740941 Enrollment ID: I20220615000479 |
Provider Name | Shelby P Lewellen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700348562 PECOS PAC ID: 2163757824 Enrollment ID: I20220722001660 |
Provider Name | Rebeca L Maynard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144712597 PECOS PAC ID: 1355685892 Enrollment ID: I20220729001845 |
Provider Name | Roswald C Gonzales |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265657738 PECOS PAC ID: 4082098322 Enrollment ID: I20220906000177 |
Provider Name | Hagop Ghareebian |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1669993390 PECOS PAC ID: 3274804869 Enrollment ID: I20221029000070 |
Provider Name | Parker A Drake |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306551155 PECOS PAC ID: 8820460439 Enrollment ID: I20230208001121 |
Provider Name | Nicole D Poteet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831896471 PECOS PAC ID: 4082087259 Enrollment ID: I20230309000576 |
Provider Name | Bethany E Reynolds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336848381 PECOS PAC ID: 8325413594 Enrollment ID: I20230331002517 |
Provider Name | Chelsea B Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265203269 PECOS PAC ID: 2062856149 Enrollment ID: I20240216000832 |
Boone County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Washington St Ste B202, Lebanon, IN 46052 Phone: 765-482-3942 Fax: 765-483-4450 | |
Aspire Indiana Health-boone County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 W Main St, Lebanon, IN 46052 Phone: 765-335-7702 Fax: 765-482-2709 | |
Boone County Community Health Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 W Camp St, Lebanon, IN 46052 Phone: 765-483-4469 |