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dr neurolgist

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Row numberNPIPAC IDProfessional Enrollment IDLast NameFirst NameMiddle NameSuffixGenderCredentialMedical school nameGraduation yearPrimary specialtyAll secondary specialtiesOrganization legal nameGroup Practice PAC IDNumber of Group Practice membersLine 1 Street AddressLine 2 Street AddressMarker of address line 2 suppressionCityStateZip CodeClaims based hospital affiliation CCN 1Claims based hospital affiliation LBN 1Claims based hospital affiliation CCN 2Claims based hospital affiliation LBN 2Claims based hospital affiliation CCN 3Claims based hospital affiliation LBN 3Claims based hospital affiliation CCN 4Claims based hospital affiliation LBN 4Claims based hospital affiliation CCN 5Claims based hospital affiliation LBN 5Professional accepts Medicare AssignmentParticipating in eRxParticipating in PQRSParticipating in EHR
116099353867911951926I20050311000289BEIDINGERFRANCESMARIAFCSWOTHER1983CLINICAL SOCIAL WORKER8527257922107 N EDDY STNSOUTH BENDIN466172920M
217404710692668567454I20081020000119AKAMANGWALINUSNMOTHER2000FAMILY PRACTICECOMMUNITY HEALTH PARTNERS OF SOUTH BEND, INC.377963291421010 N BENDIX DRNSOUTH BENDIN466281925150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.M
310735611066305750274I20040413000849WATSONSUZANNELFCPOTHER1991CLINICAL PSYCHOLOGIST1211 W WASHINGTON ST1910NSOUTH BENDIN466011704M
411341229145991772998I20040910000184KAZIAMERMAHMUDMMDOTHER1987NEUROLOGYPAIN MANAGEMENTINDIANA PAIN AND SPINE CLINIC CORPORATION5991872988153830 GENERATIONS DRSUITE 110NSOUTH BENDIN466351538150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150018ELKHART GENERAL HOSPITAL, INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INCYY
511341229145991772998I20040910000184KAZIAMERMAHMUDMMDOTHER1987NEUROLOGYPAIN MANAGEMENTINDIANA PAIN AND SPINE CLINIC CORPORATION5991872988153830 GENERATIONS DRNSOUTH BENDIN466351538150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150018ELKHART GENERAL HOSPITAL, INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INCYY
617503601372365402443I20041013000600SCOTTCLINTONHJR.MDPMNEW YORK COLLEGE OF PODIATRIC MEDICINE1993PODIATRYSCOTT MEDINVESTMENT GROUP, LLC296169819613903 PORTAGE RDNSOUTH BENDIN466286192150002THE METHODIST HOSPITALS INCMY
710634169310446392880I20100122000186SMITHDONALDWMINDIANA UNIVERSITY SCHOOL OF MEDICINE1971DERMATOLOGYFAMILY MEDICINE OF SOUTH BEND PC539565988276301 UNIVERSITY COMMOMNSNSOUTH BENDIN466351571YYY
815189998462466520861I20081013000479STEELEKATHERINELFOTHER1993CLINICAL PSYCHOLOGISTKATIE STEELE, PH.D. WELLNESS ASSOCIATES, PC599187339032025 EDISON RD AWELLNESS ASSOCIATESNSOUTH BENDIN466375600Y
911240947278820270267I20110307000853FINLEYBARBARAAFOTHER1983CLINICAL SOCIAL WORKERBARBARA FINLEY, LCSW/M.DIV,. LLC02444033681150 W ANGELA BLVDNSOUTH BENDIN466171101M
1014876926209234273111I20111220000492BOTKINDAVIDJOHNMOTHER1984CLINICAL PSYCHOLOGIST1105 E JEFFERSON BLVDNSOUTH BENDIN466011917YY
1118211836743173542610I20051115000127SHARPCHERYLANNFAUOTHER2006AUDIOLOGISTMICHIANA HEARING CARE CENTER, P.C.236568863711001 N HICKORY RDNSOUTH BENDIN466153700YY
1210735988357517912348I20100818001015GERBERSTEVELMUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE1988OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284035707 N MICHIGAN ST210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
1317505059969133285802I20090304000439GULANICKNANCYAFSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE1977CLINICAL PSYCHOLOGIST1105 E JEFFERSON BLVDNSOUTH BENDIN466011911Y
1414270323175799952792I20120113000692RUNKLELESLYEAFOTHER1986CLINICAL SOCIAL WORKER153700 GENERATIONS DRNSOUTH BENDIN466351588Y
1513766111378022261874I20130104000103PRESTONANNALFOTHER1985CLINICAL PSYCHOLOGISTSAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.4587830807217195 CLEVELAND RDNSOUTH BENDIN466351415Y
1610332671410547319022I20090513000443HUNTPHILIPRMPALMER COLLEGE CHIROPRACTIC - DAVENPORT1975CHIROPRACTIC1227 N DIXIE WAYYSOUTH BENDIN466373300Y
1713362347568022165323I20090402000114UDDINKHUTBMMOTHER1979PSYCHIATRYSTAR PSYCHIATRIC SERVICES PC46888245501239 N DIXIEWAYNSOUTH BENDIN466373309Y
1818413087564082770979I20090302000023BLOCKJOYCEFOTHER1982CLINICAL PSYCHOLOGIST1105 E JEFFERSON BLVDYSOUTH BENDIN466011911Y
1915088578063476541194I20040503000834KIRSCHILANALFMDUNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE1990OBSTETRICS/GYNECOLOGYFAMILY MEDICINE OF SOUTH BEND PC539565988276301 UNIVERSITY COMMOMNSNSOUTH BENDIN466351571150058MEMORIAL HOSPITAL OF SOUTH BEND INCYY
2010534766976800820440I20050926000240SEARLEBARBARASFCPOTHER1998CLINICAL PSYCHOLOGIST13603 E JEFFERSON BLVD BNSOUTH BENDIN466153035Y
2110039831159133016355I20040302001270MONROELINDAJFCPOTHER1988CLINICAL PSYCHOLOGIST153846 GENERATIONS DRNSOUTH BENDIN466351543Y
2211443717332961677133I20111216000426MAWHINNEYVAUGHNTHOMASMOTHER1971CLINICAL PSYCHOLOGISTV. THOMAS MAWHINNEY, PH.D., INC.39717781431828 E COLFAX AVENSOUTH BENDIN466172804Y
2317505059969133285802I20090304000439GULANICKNANCYAFSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE1977CLINICAL PSYCHOLOGIST1105 E JEFFERSON BLVD212NSOUTH BENDIN466011911Y
2418917613917214117241I20110209000173BODNARLINDALCSWFOTHER1972CLINICAL SOCIAL WORKERBODNAR COUNSELING, INC.4789864711117903 STATE RD3NSOUTH BENDIN466351642Y
2511442292466002930419I20100907000806MOOREPATRICIAANNFOHIO COLLEGE OF PODIATRIC MEDICINE1982PODIATRY152303 EMMONS RD30NSOUTH BENDIN466374288YY
2617505326517911199161I20101007000189COLECAROLYNNFOTHER2007PODIATRY2860523578727 E JEFFERSON BLVDNSOUTH BENDIN466172902YY
2718715129395092980540I20111212000421SAMORAFRANCISGMOTHER1981CLINICAL SOCIAL WORKERADVANCED MEDICAL COMPUTING INC94361416291150 W ANGELA BLVDNSOUTH BENDIN466171101M
2817009494928022906171I20040309001148FISCHELLIOTAMCSWOTHER1982CLINICAL SOCIAL WORKER153846 GENERATIONS DRNSOUTH BENDIN466351543Y
2919322217771254410855I20080508000013SZCZECHOWSKISUSANJFOTHER1975REGISTERED DIETITIAN OR NUTRITION PROFESSIONALMEMORIAL HOSPITAL OF SOUTH BEND INC812301712615615 N MICHIGAN STNSOUTH BENDIN466011033Y
3014876926209234273111I20111220000492BOTKINDAVIDJOHNMOTHER1984CLINICAL PSYCHOLOGIST1105 E JEFFERSON BLVD800NSOUTH BENDIN466011917YY
3114179921998325140619I20070611000520YOONERICMMDWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE2002OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284035707 N MICHIGAN ST210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYY
3218716600357315041886I20070323000089MACELLARIPAULWMOTHER1986CLINICAL PSYCHOLOGISTMEMORIAL HOSPITAL OF SOUTH BEND INC812301712615615 N MICHIGAN STNSOUTH BENDIN466011033150058MEMORIAL HOSPITAL OF SOUTH BEND INCY
3312856392527012927890I20060424000358OFFERLEJOHNJOSEPHMODINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY1979OPTOMETRYEYE CARE ASSOCIATES OF MICHIANA LLC8123030624417477 GENERATIONS DRNSOUTH BENDIN466351584YY
3418311807103779511498I20050802001368ERDMANCAROLLFCPOTHER2001CLINICAL PSYCHOLOGISTMEMORIAL HOSPITAL OF SOUTH BEND INC812301712615615 N MICHIGAN STNSOUTH BENDIN466011033150058MEMORIAL HOSPITAL OF SOUTH BEND INCY
3517301840603375553159I20060424000364ROBBINS WINTERSLINNEAMARIEFODOTHER1991OPTOMETRYEYE CARE ASSOCIATES OF MICHIANA LLC8123030624417477 GENERATIONS DRNSOUTH BENDIN466351584YYY
3610735611066305750274I20040413000849WATSONSUZANNELFCPOTHER1991CLINICAL PSYCHOLOGIST1211 W WASHINGTON STNSOUTH BENDIN466011704M
3714977302618527013358I20100818001053SCHWARTZBRUCEHMSTATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE1994OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284035707 N MICHIGAN ST210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYY
3815785537985496935140I20110309000561MAXWELLCATHERINEBFOTHER1978CLINICAL PSYCHOLOGIST153700 GENERATIONS DRNSOUTH BENDIN466351588Y
3913664928293072505262I20040514000563GENTNERDONALDSMCSWOTHER1980CLINICAL SOCIAL WORKERINTERBEING, LLC49817699811211 W WASHINGTON STNSOUTH BENDIN466011704Y
4010735988357517912348I20100818001015GERBERSTEVELMUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE1988OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284035707 N MICHIGAN STNSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
4118415011947214123074I20101119000365ELIASYAIRWMOTHER2010OPTOMETRYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284035707 N MICHIGAN STNSOUTH BENDIN466011069Y
4214876517580941273163I20040817000072FIEDLERANDREWJMMDUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE1989CARDIOVASCULAR DISEASE (CARDIOLOGY)MEMORIAL HOSPITAL OF SOUTH BEND INC812301712615615 N MICHIGAN STNSOUTH BENDIN466011033150058MEMORIAL HOSPITAL OF SOUTH BEND INC230021LAKELAND HOSPITAL AT NILES AND ST JOSEPH, INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.151300COMMUNITY HOSPITAL OF BREMEN150076SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS INCYY
4312958182271355534348I20101022000508MARCHINJOHNPMOHIO STATE UNIVERSITY COLLEGE OF MEDICINE1985PHYSICAL MEDICINE AND REHABILITATION1615 N MICHIGAN STNSOUTH BENDIN466011087Y
4415785537985496935140I20110309000561MAXWELLCATHERINEBFOTHER1978CLINICAL PSYCHOLOGIST153700 GENERATIONS DRSUITE 200NSOUTH BENDIN466351588Y
4513169950958628060811I20040816000207BERARDIANTHONYLMCPOTHER1976CLINICAL PSYCHOLOGISTANTHONY L BERARDI, PHD PC33757019491211 W WASHINGTON STYSOUTH BENDIN466011704Y
4615583665186204846082I20060424000350MORTONTOMLESLIEMODINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY1984OPTOMETRYEYE CARE ASSOCIATES OF MICHIANA LLC8123030624417477 GENERATIONS DRNSOUTH BENDIN466351584YYY
4716199696490143335141I20101011001030HOSKINSKYLEFMINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY1994OPTOMETRYHOSKO PC7214057884117900 IRELAND RDNSOUTH BENDIN466143050Y
4814270323175799952792I20120113000692RUNKLELESLYEAFOTHER1986CLINICAL SOCIAL WORKER153700 GENERATIONS DRSUITE 200NSOUTH BENDIN466351588Y
4918918825108224059654I20090521000039ONKKATIMOTHYAMOTHER1985CLINICAL PSYCHOLOGISTTIMOTHY A. ONKKA, PH.D., P.C.29614233971150 W ANGELA BLVDNSOUTH BENDIN466171101Y
5012252830395799800884I20100913000958HUGHESJODYAFOTHER1993CLINICAL SOCIAL WORKERJODY L. HUGHES LLC23656197491202 S MICHIGAN STSUITE 875NSOUTH BENDIN466012029Y

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Lindak Lindak

created Jul 02, 2013

updated Apr 16, 2015

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Description

This view contains all data elements available in the Physician Compare National Downloadable File. It is intended for researchers with experience in advanced data manipulation techniques. This view allows researchers to identify all the Medicare enrollments for a single provider and all providers enrolled with a particular group practice. Numerical identifiers for group practices are included to distinguish between groups with similar names.

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