| St. Francis Medical Group, Llc | |
|
701 E County Line Rd Ste 101 Greenwood IN 46143-1070 | |
| (317) 885-2860 | |
| (317) 885-2869 |
| Full Name | St. Francis Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 E County Line Rd Ste 101, Greenwood, Indiana |
| Authorized Official Name and Position | Mark Anderson (PRACTICE OPERATIONS EXECUTIVE) |
| Authorized Official Contact | 3175284943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Francis Medical Group, Llc Po Box 771846 Detroit MI 48278-1846 Ph: (317) 885-2870 | St. Francis Medical Group, Llc 701 E County Line Rd Ste 101 Greenwood IN 46143-1070 Ph: (317) 885-2860 |
| NPI Number | 1467693135 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 7012067697 |
|---|---|
| Medicare Enrollment ID | O20090603000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467693135 | NPI | - | NPPES |
| Provider Name | Meeta Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114997756 PECOS PAC ID: 6204828551 Enrollment ID: I20040330000867 |
| Provider Name | Ajay K Ponugoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801876396 PECOS PAC ID: 1658360961 Enrollment ID: I20040511001212 |
| Provider Name | Fadi Imil Tawfik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649240730 PECOS PAC ID: 4880683010 Enrollment ID: I20040511001401 |
| Provider Name | Manfred Paul Mueller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174503650 PECOS PAC ID: 0446219539 Enrollment ID: I20041005000688 |
| Provider Name | William E Turton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134199771 PECOS PAC ID: 6901867456 Enrollment ID: I20041019001004 |
| Provider Name | Kristi A Kerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992787964 PECOS PAC ID: 7113993031 Enrollment ID: I20041028000815 |
| Provider Name | David Timothy Cox |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861474231 PECOS PAC ID: 4789636846 Enrollment ID: I20050222000592 |
| Provider Name | Buland I Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710989199 PECOS PAC ID: 2062465289 Enrollment ID: I20050301000076 |
| Provider Name | Winston Richard Nara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114907607 PECOS PAC ID: 3375582075 Enrollment ID: I20050502001310 |
| Provider Name | Imad Shawa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659341741 PECOS PAC ID: 8527008812 Enrollment ID: I20050505000815 |
| Provider Name | Ahmad R Saltagi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417927039 PECOS PAC ID: 4082686613 Enrollment ID: I20050706000154 |
| Provider Name | Robert Stoke Daly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255311981 PECOS PAC ID: 0244264075 Enrollment ID: I20050921000903 |
| Provider Name | James Craig Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104834993 PECOS PAC ID: 5890710214 Enrollment ID: I20051013000848 |
| Provider Name | Sachin Thakorlal Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447230198 PECOS PAC ID: 8123032810 Enrollment ID: I20060202000025 |
| Provider Name | Asif Ansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760471080 PECOS PAC ID: 7113967217 Enrollment ID: I20060825000184 |
| Provider Name | Michael James Snyder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457389132 PECOS PAC ID: 0345240354 Enrollment ID: I20061221000397 |
| Provider Name | Sanjay S Vyas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295708766 PECOS PAC ID: 1658474499 Enrollment ID: I20070315000055 |
| Provider Name | Faisal A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477564748 PECOS PAC ID: 6406860741 Enrollment ID: I20070326000341 |
| Provider Name | Qamer Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760450720 PECOS PAC ID: 0941243745 Enrollment ID: I20071129000430 |
| Provider Name | Roland Lee Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134397086 PECOS PAC ID: 0648356535 Enrollment ID: I20080318000266 |
| Provider Name | David K Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720029911 PECOS PAC ID: 3173412038 Enrollment ID: I20090610000001 |
| Provider Name | Christopher A Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780843169 PECOS PAC ID: 8628121910 Enrollment ID: I20090804000612 |
| Provider Name | Aaron S Bruns |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639394091 PECOS PAC ID: 2264585322 Enrollment ID: I20090806000647 |
| Provider Name | Charles Janssens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20090928000065 |
| Provider Name | Andrew D Dick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679570956 PECOS PAC ID: 4789612870 Enrollment ID: I20100104000484 |
| Provider Name | Larry Marc Greenbaum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316927072 PECOS PAC ID: 7618066770 Enrollment ID: I20100306000147 |
| Provider Name | Steven Michael Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205806387 PECOS PAC ID: 0840288452 Enrollment ID: I20100326000501 |
| Provider Name | Gerald Lee Braverman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598744492 PECOS PAC ID: 3971692039 Enrollment ID: I20100416000020 |
| Provider Name | Justin R Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710121959 PECOS PAC ID: 5496885808 Enrollment ID: I20100611000055 |
| Provider Name | Wendy S Stoelting Gettelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285881680 PECOS PAC ID: 7416087754 Enrollment ID: I20100611000527 |
| Provider Name | Aliya Haider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114152303 PECOS PAC ID: 8820141831 Enrollment ID: I20100629000643 |
| Provider Name | Haider Hussain Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376860890 PECOS PAC ID: 6002947009 Enrollment ID: I20100707000481 |
| Provider Name | Abhinav Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023298445 PECOS PAC ID: 7416072301 Enrollment ID: I20100915001030 |
| Provider Name | Dipti S Vyas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871508507 PECOS PAC ID: 2961690144 Enrollment ID: I20110104000010 |
| Provider Name | Sandeep Kukreja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992906846 PECOS PAC ID: 8426238239 Enrollment ID: I20110211000156 |
| Provider Name | Abigail Leann Strehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285914564 PECOS PAC ID: 4688847122 Enrollment ID: I20111028000583 |
| Provider Name | Mohammad F Sharief |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710150628 PECOS PAC ID: 6305033267 Enrollment ID: I20120306000959 |
| Provider Name | Faron R Skelton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780706499 PECOS PAC ID: 0547352270 Enrollment ID: I20120312000648 |
| Provider Name | Ashraf Sami Abdelhafez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977751 PECOS PAC ID: 6406012525 Enrollment ID: I20120718000233 |
| Provider Name | Muhammad J Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871856351 PECOS PAC ID: 1658529359 Enrollment ID: I20120921000777 |
| Provider Name | Mary B Garnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679821060 PECOS PAC ID: 7719136084 Enrollment ID: I20121001000389 |
| Provider Name | Raime C Blattner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679829055 PECOS PAC ID: 5193975936 Enrollment ID: I20121101000202 |
| Provider Name | Ahmad Alawneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548422017 PECOS PAC ID: 5395999270 Enrollment ID: I20130130000134 |
| Provider Name | Ehab M Wanas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114151669 PECOS PAC ID: 9335397132 Enrollment ID: I20130805000260 |
| Provider Name | Brendan K Sweeny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518287473 PECOS PAC ID: 3678716719 Enrollment ID: I20130821000505 |
| Provider Name | Shimoga R Prakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356485833 PECOS PAC ID: 2860584992 Enrollment ID: I20130829000038 |
| Provider Name | Nickolas R Frechette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891010294 PECOS PAC ID: 6103069349 Enrollment ID: I20130906000755 |
| Provider Name | Mohamed H Morad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730481870 PECOS PAC ID: 3779723564 Enrollment ID: I20130916000098 |
| Provider Name | Ruxandra Corina Ionescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093905408 PECOS PAC ID: 2961649975 Enrollment ID: I20130916000770 |
| Provider Name | Gema M Naum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588984736 PECOS PAC ID: 0446499214 Enrollment ID: I20131010001524 |
| Provider Name | Tony Limbil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356572473 PECOS PAC ID: 1658538145 Enrollment ID: I20131022001595 |
| Provider Name | Bharat Ns Sastry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093963068 PECOS PAC ID: 1557418027 Enrollment ID: I20131112002046 |
| Provider Name | Tracie Kay Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306282819 PECOS PAC ID: 8022245794 Enrollment ID: I20131230001606 |
| Provider Name | Sheraz Younus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396928552 PECOS PAC ID: 1153550116 Enrollment ID: I20140215000111 |
| Provider Name | Tara R Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972915338 PECOS PAC ID: 1355568577 Enrollment ID: I20140812002596 |
| Provider Name | Mona Pankaj Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356503205 PECOS PAC ID: 9830336833 Enrollment ID: I20141017001736 |
| Provider Name | Linda L Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134529753 PECOS PAC ID: 0446472617 Enrollment ID: I20141104001870 |
| Provider Name | Miguel R Balfour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841458270 PECOS PAC ID: 7719156520 Enrollment ID: I20150407000125 |
| Provider Name | David S Will |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194085688 PECOS PAC ID: 0244472470 Enrollment ID: I20150610001224 |
| Provider Name | Sarfraz R Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689850422 PECOS PAC ID: 9537249313 Enrollment ID: I20150611000388 |
| Provider Name | Joshua E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265828719 PECOS PAC ID: 5092029546 Enrollment ID: I20150729006927 |
| Provider Name | Stacey Dirksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992191738 PECOS PAC ID: 3678887387 Enrollment ID: I20150807014382 |
| Provider Name | Joyce Alice Marie Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699165068 PECOS PAC ID: 1658687025 Enrollment ID: I20150831001591 |
| Provider Name | Kristen C Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090021 PECOS PAC ID: 4789992728 Enrollment ID: I20150924002498 |
| Provider Name | Chonn Khristin M Ng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518133925 PECOS PAC ID: 9335314426 Enrollment ID: I20160115001357 |
| Provider Name | Juli D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821456765 PECOS PAC ID: 3577857275 Enrollment ID: I20160803001099 |
| Provider Name | Faten K Suhail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568684884 PECOS PAC ID: 8729148846 Enrollment ID: I20160804002144 |
| Provider Name | Jenna N Treadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611346 PECOS PAC ID: 7214221324 Enrollment ID: I20160812001032 |
| Provider Name | Edris Ayoubi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053578898 PECOS PAC ID: 3375735012 Enrollment ID: I20161017001313 |
| Provider Name | Gwendolyn E Whitis Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205382801 PECOS PAC ID: 5698053650 Enrollment ID: I20161025002773 |
| Provider Name | Hannah E Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043759319 PECOS PAC ID: 4981989647 Enrollment ID: I20170320000825 |
| Provider Name | Brittany K Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508304551 PECOS PAC ID: 6002192879 Enrollment ID: I20170410001251 |
| Provider Name | Ashley L Gromski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847659 PECOS PAC ID: 9436420189 Enrollment ID: I20170731000711 |
| Provider Name | Caitlin E.d. Luebcke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073044954 PECOS PAC ID: 4082986740 Enrollment ID: I20170816001486 |
| Provider Name | Morgan D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316464167 PECOS PAC ID: 6305110131 Enrollment ID: I20170918002839 |
| Provider Name | Swathi Janga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730591181 PECOS PAC ID: 2365717295 Enrollment ID: I20171003006707 |
| Provider Name | Mary C Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610058 PECOS PAC ID: 6305193418 Enrollment ID: I20180720000758 |
| Provider Name | Kailey A Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902399538 PECOS PAC ID: 6305194200 Enrollment ID: I20180809001160 |
| Provider Name | Sheevani Bhalsod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629411236 PECOS PAC ID: 2567750730 Enrollment ID: I20180921001805 |
| Provider Name | Abdul Rehman Tayyab Tahir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134515307 PECOS PAC ID: 0648582411 Enrollment ID: I20180926002338 |
| Provider Name | Leslie Suzanne Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225592801 PECOS PAC ID: 8527307164 Enrollment ID: I20190227000079 |
| Provider Name | Angela S Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124580485 PECOS PAC ID: 5799118865 Enrollment ID: I20191203001742 |
| Provider Name | Hill Ambrose Enuh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841547692 PECOS PAC ID: 6103128095 Enrollment ID: I20200221000151 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20200508002382 |
| Provider Name | Zoubair Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952817900 PECOS PAC ID: 9537582234 Enrollment ID: I20200714002580 |
| Provider Name | Abby R Andress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255975165 PECOS PAC ID: 7113341140 Enrollment ID: I20200722003455 |
| Provider Name | Stacy Lee Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093336679 PECOS PAC ID: 1052737202 Enrollment ID: I20200818002744 |
| Provider Name | Krista M Spalding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033727979 PECOS PAC ID: 6507283983 Enrollment ID: I20200831002085 |
| Provider Name | Amanda M Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192247 PECOS PAC ID: 3678992104 Enrollment ID: I20201001001799 |
| Provider Name | Imran Hasanuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942409370 PECOS PAC ID: 1153503271 Enrollment ID: I20201013001668 |
| Provider Name | Sarah E Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278709 PECOS PAC ID: 3577973452 Enrollment ID: I20201104001050 |
| Provider Name | Maria F Schoenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801380944 PECOS PAC ID: 5799031787 Enrollment ID: I20210624000721 |
| Provider Name | John T Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629649314 PECOS PAC ID: 0547665341 Enrollment ID: I20210817001724 |
| Provider Name | Meghan L Janik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326619966 PECOS PAC ID: 7810392644 Enrollment ID: I20210817003099 |
| Provider Name | Kristin Ann Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386241271 PECOS PAC ID: 2961807300 Enrollment ID: I20210823001635 |
| Provider Name | Megan A Mandelbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730679002 PECOS PAC ID: 7810392859 Enrollment ID: I20210830000457 |
| Provider Name | Emmeline H Magno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457765679 PECOS PAC ID: 5799079570 Enrollment ID: I20210830001843 |
| Provider Name | Bisher Zuhdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043742869 PECOS PAC ID: 7416222088 Enrollment ID: I20210908000379 |
| Provider Name | Umar M Osman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487882635 PECOS PAC ID: 9032351994 Enrollment ID: I20211122001102 |
| Provider Name | Kayla A Kohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538731617 PECOS PAC ID: 0244618460 Enrollment ID: I20220531002305 |
| Provider Name | Rachel A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386390219 PECOS PAC ID: 2466830211 Enrollment ID: I20220607000635 |
| Provider Name | Gabriel C Kousourou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538697024 PECOS PAC ID: 2163790825 Enrollment ID: I20220817001254 |
| Provider Name | Emily K Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104555812 PECOS PAC ID: 6406230507 Enrollment ID: I20220908000409 |
| Provider Name | Amy N Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982322392 PECOS PAC ID: 3971989997 Enrollment ID: I20220928003236 |
| Provider Name | Stephanie A Hansman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497491062 PECOS PAC ID: 6406232032 Enrollment ID: I20221012003137 |
| Provider Name | Laura Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457066631 PECOS PAC ID: 4183099492 Enrollment ID: I20230418001572 |
| Provider Name | Samantha J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871291930 PECOS PAC ID: 3678936705 Enrollment ID: I20230823000246 |
| Provider Name | Ashley A Rittenhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114604451 PECOS PAC ID: 9638527666 Enrollment ID: I20231130002351 |
Community Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 | |
County Line Medical Pavilion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E County Line Rd, Suite B, Greenwood, IN 46143 Phone: 317-497-6333 Fax: 317-497-6334 | |
Greenwood Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 281-429-8526 | |
Premier Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 747 E County Line Rd Ste B, Greenwood, IN 46143 Phone: 317-789-9600 Fax: 317-789-0600 | |
Greenwood Family Care A.s.a.p. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Stonegate Dr, Greenwood, IN 46142 Phone: 317-215-4367 Fax: 317-888-4706 | |
Southside Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N Madison Ave, Greenwood, IN 46142 Phone: 317-887-7624 Fax: 317-887-7625 | |
Iu Health Workplace Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2943 S Morgantown Rd, Greenwood, IN 46143 Phone: 317-882-1233 |