| American Medical Associates Llc | |
|
9250 Columbia Ave Ste 1f Munster IN 46321-3530 | |
| (219) 937-9653 | |
| (219) 937-2981 |
| Full Name | American Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9250 Columbia Ave Ste 1f, Munster, Indiana |
| Authorized Official Name and Position | Rudyard U Smith (PRESIDENT) |
| Authorized Official Contact | 2199379653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Medical Associates Llc 539 Saint Andrews Dr Schererville IN 46375-2951 Ph: (773) 459-9661 | American Medical Associates Llc 9250 Columbia Ave Ste 1f Munster IN 46321-3530 Ph: (219) 937-9653 |
| NPI Number | 1942303870 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/04/2022 |
| Medicare PECOS PAC ID | 8224006721 |
|---|---|
| Medicare Enrollment ID | O20040922000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942303870 | NPI | - | NPPES |
| 15D1025134 | Other | IN | CLIA |
| 200145800 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rudyard U Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295784031 PECOS PAC ID: 5698673937 Enrollment ID: I20040922000787 |
| Provider Name | Andrea Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298267 PECOS PAC ID: 2668890252 Enrollment ID: I20200914002252 |
| Provider Name | Elaine Cabugason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386987238 PECOS PAC ID: 0941501654 Enrollment ID: I20220307000206 |
| Provider Name | Steven Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114360013 PECOS PAC ID: 3779885975 Enrollment ID: I20230130001650 |
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