| Wall Street Medical Group Inpatient Services Llc | |
|
443 Spring St Ste 200 Jeffersonville IN 47130-4494 | |
| (502) 525-4376 | |
| (440) 332-3844 |
| Full Name | Wall Street Medical Group Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 443 Spring St Ste 200, Jeffersonville, Indiana |
| Authorized Official Name and Position | Muhammad Masroor (DIRECTOR/OWNER) |
| Authorized Official Contact | 5025008809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wall Street Medical Group Inpatient Services Llc 443 Spring St Ste 200 Jeffersonville IN 47130-4494 Ph: (502) 525-4376 | Wall Street Medical Group Inpatient Services Llc 443 Spring St Ste 200 Jeffersonville IN 47130-4494 Ph: (502) 525-4376 |
| NPI Number | 1992312862 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 3274953526 |
|---|---|
| Medicare Enrollment ID | O20201026002684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992312862 | NPI | - | NPPES |
| Provider Name | Jose Bada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063595452 PECOS PAC ID: 5193791713 Enrollment ID: I20040909000733 |
| Provider Name | Muhammad I Masroor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043216971 PECOS PAC ID: 5092734525 Enrollment ID: I20080821000662 |
| Provider Name | Karen D Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428550 PECOS PAC ID: 6507019031 Enrollment ID: I20130114000228 |
| Provider Name | Amy N Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790126696 PECOS PAC ID: 5294977047 Enrollment ID: I20130919000757 |
| Provider Name | Brooke A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598105660 PECOS PAC ID: 1456595636 Enrollment ID: I20131015000175 |
| Provider Name | Tina M Woodrome-nethery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962759274 PECOS PAC ID: 4183872021 Enrollment ID: I20140326002168 |
| Provider Name | Sarah Ellen Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262641 PECOS PAC ID: 5698080083 Enrollment ID: I20150813011438 |
| Provider Name | Vanessa H Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594383 PECOS PAC ID: 4880983527 Enrollment ID: I20160518002517 |
| Provider Name | Jeremy L Wilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043689672 PECOS PAC ID: 7618239070 Enrollment ID: I20180322001684 |
| Provider Name | Kayla Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073270161 PECOS PAC ID: 7810387990 Enrollment ID: I20211203000876 |
| Provider Name | Joanna L Gullion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669142477 PECOS PAC ID: 1153711874 Enrollment ID: I20211210001671 |
| Provider Name | Trista Bodenstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205597515 PECOS PAC ID: 4284026840 Enrollment ID: I20220112000921 |
| Provider Name | Janel Buechler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629725866 PECOS PAC ID: 0244625523 Enrollment ID: I20220323002491 |
| Provider Name | Megan Horvath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073222030 PECOS PAC ID: 0648640383 Enrollment ID: I20221221001947 |
| Provider Name | Sam Sultan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265938963 PECOS PAC ID: 1951788322 Enrollment ID: I20240814004452 |
Lifespring, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 432 E Court Ave, Jeffersonville, IN 47130 Phone: 812-280-2080 Fax: 812-206-1243 | |
Physician's Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804 E 10th St, Jeffersonville, IN 47130 Phone: 812-288-2488 Fax: 812-288-6603 | |
Crossover Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Patrol Rd, Jeffersonville, IN 47130 Phone: 949-891-0328 | |
Coleman Institute- Indiana Peter Richard Coleman Sole Mbr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Wall St, Suite 204, Jeffersonville, IN 47130 Phone: 812-288-8410 Fax: 812-288-8409 | |
Shaze Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130 Phone: 812-282-2218 Fax: 812-282-2252 | |
Viverant Integrative Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 335 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-255-1699 | |
Clark County Auditor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Wall Street, Jeffersonville, IN 47130 Phone: 812-282-7521 Fax: 812-288-2711 |