| Smart Physician Systems Pc | |
|
10176 W 400 N Ste C Michigan City IN 46360-9009 | |
| (219) 805-5333 | |
| (219) 873-0001 |
| Full Name | Smart Physician Systems Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10176 W 400 N Ste C, Michigan City, Indiana |
| Authorized Official Name and Position | Syed R Majid (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2198055333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Physician Systems Pc 10176 W 400 N Ste C Michigan City IN 46360-9009 Ph: (219) 805-5333 | Smart Physician Systems Pc 10176 W 400 N Ste C Michigan City IN 46360-9009 Ph: (219) 805-5333 |
| NPI Number | 1023550183 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 04/23/2018 |
| Medicare PECOS PAC ID | 3678853645 |
|---|---|
| Medicare Enrollment ID | O20161208001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023550183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Indiana) | Primary |
| Provider Name | Syed R Majid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225009533 PECOS PAC ID: 4183691710 Enrollment ID: I20040921000265 |
| Provider Name | Atimanaparampil Damodaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255394805 PECOS PAC ID: 7810072832 Enrollment ID: I20100211000434 |
| Provider Name | Syed S Kazmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154640902 PECOS PAC ID: 7416020565 Enrollment ID: I20180129000549 |
| Provider Name | Olusola Olowe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770783748 PECOS PAC ID: 9133303027 Enrollment ID: I20180213003024 |
| Provider Name | Shanon Lee Mekola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568943231 PECOS PAC ID: 2860731098 Enrollment ID: I20190305001770 |
| Provider Name | Daniel R Cozadd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649482902 PECOS PAC ID: 5294961561 Enrollment ID: I20200106001476 |
| Provider Name | Valerie L Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982887659 PECOS PAC ID: 0143302364 Enrollment ID: I20200120000145 |
| Provider Name | Amanda Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205498862 PECOS PAC ID: 7315363157 Enrollment ID: I20200811003319 |
| Provider Name | Kathaleen L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821150426 PECOS PAC ID: 0446499222 Enrollment ID: I20201005000957 |
| Provider Name | Sarah Slattery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689173965 PECOS PAC ID: 2860755840 Enrollment ID: I20201217002747 |
| Provider Name | Melissa Oseguera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558945378 PECOS PAC ID: 5193125912 Enrollment ID: I20220726001891 |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-879-6531 Fax: 219-878-5015 | |
Healthlinc - Michigan City Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Alfred St, Michigan City, IN 46360 Phone: 219-413-5100 | |
Chest Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10176 W 400 N, Suite B, Michigan City, IN 46360 Phone: 219-878-5864 Fax: 219-878-0632 | |
Lakeshore Bone & Joint Institute, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 E Coolspring Ave Ste 2f, Michigan City, IN 46360 Phone: 219-921-1444 Fax: 219-921-0533 | |
Healthlinc, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Franklin St Ste 200, Michigan City, IN 46360 Phone: 219-872-6200 | |
Contri Medical Corporation Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 West Homer Street, Michigan City, IN 46360 Phone: 219-872-2101 Fax: 219-878-8017 |