| Woodway Internal Medicine Pc | |
|
4000 W Woodway Dr Muncie IN 47304-4264 | |
| (765) 213-4950 | |
| (765) 741-4658 |
| Full Name | Woodway Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 W Woodway Dr, Muncie, Indiana |
| Authorized Official Name and Position | Scott A Himes (PRACTICE MANAGER) |
| Authorized Official Contact | 7652134950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodway Internal Medicine Pc 4000 W Woodway Dr Muncie IN 47304-4264 Ph: (765) 213-4950 | Woodway Internal Medicine Pc 4000 W Woodway Dr Muncie IN 47304-4264 Ph: (765) 213-4950 |
| NPI Number | 1730509050 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 9830312263 |
|---|---|
| Medicare Enrollment ID | O20140603001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730509050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (Indiana) | Secondary |
| Provider Name | Thomas J Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528110764 PECOS PAC ID: 3375642234 Enrollment ID: I20070619000360 |
| Provider Name | Robert P Suer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902957400 PECOS PAC ID: 5092814954 Enrollment ID: I20070619000374 |
| Provider Name | Earl E Lloyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669524658 PECOS PAC ID: 0345311056 Enrollment ID: I20080623000541 |
| Provider Name | Heather N Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265705404 PECOS PAC ID: 4880852631 Enrollment ID: I20120224000139 |
| Provider Name | Keri L Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609476456 PECOS PAC ID: 4385051184 Enrollment ID: I20210323001122 |
| Provider Name | Stephanie Skye Dowker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130615 PECOS PAC ID: 9234535766 Enrollment ID: I20210909001074 |
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