| Dr Kyle Alexander Schultz, DO | |
|
2310 California Rd, Elkhart, IN 46514-1228 | |
| (574) 264-0791 | |
| Not Available |
| Full Name | Dr Kyle Alexander Schultz |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2310 California Rd, Elkhart, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730534926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101022238 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 02006630A (Indiana) | Primary |
| Entity Name | Orthopedic And Sports Medicine Center Of Northern Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710085253 PECOS PAC ID: 0840260105 Enrollment ID: O20040727000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Alexander Schultz, DO 15360 Hunting Ridge Trl, Granger, IN 46530-9095 Ph: (574) 286-8636 | Dr Kyle Alexander Schultz, DO 2310 California Rd, Elkhart, IN 46514-1228 Ph: (574) 264-0791 |
Robert K Ellis, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Mark A Klaassen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Ste A, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Craig W Erekson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Dr. Jon B Smucker, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd Ste A, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-5183 | |
Dr. Joseph Martin Caldwell Ii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2310 California Rd, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Louis C Sfreddo, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650 | |
Leonard J Kibiloski, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2310 California Road, Suite A, Elkhart, IN 46514 Phone: 574-264-0791 Fax: 574-262-9650 |