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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
211240947278820270267I20110307000853FINLEYBARBARAAFOTHER1983CLINICAL SOCIAL WORKERBARBARA FINLEY, LCSW/M.DIV,. LLC02444033681150 W ANGELA BLVDNSOUTH BENDIN466171101M
313362347568022165323I20090402000114UDDINKHUTBMMOTHER1979PSYCHIATRYSTAR PSYCHIATRIC SERVICES PC46888245501239 N DIXIEWAYNSOUTH BENDIN466373309Y
411443717332961677133I20111216000426MAWHINNEYVAUGHNTHOMASMOTHER1971CLINICAL PSYCHOLOGISTV. THOMAS MAWHINNEY, PH.D., INC.39717781431828 E COLFAX AVENSOUTH BENDIN466172804Y
518715129395092980540I20111212000421SAMORAFRANCISGMOTHER1981CLINICAL SOCIAL WORKERADVANCED MEDICAL COMPUTING INC94361416291150 W ANGELA BLVDNSOUTH BENDIN466171101M
618918825108224059654I20090521000039ONKKATIMOTHYAMOTHER1985CLINICAL PSYCHOLOGISTTIMOTHY A. ONKKA, PH.D., P.C.29614233971150 W ANGELA BLVDNSOUTH BENDIN466171101Y
718513681959739360736I20110224000109WETZELBRENDAEFOTHER1981CLINICAL SOCIAL WORKERWETZEL THERAPY INC9234310228117903 STATE RDNSOUTH BENDIN466351642Y
819928887621153483458I20081222000003HUSBANDJAMESDMPALMER COLLEGE CHIROPRACTIC - DAVENPORT1981CHIROPRACTICCHIROPRACTIC HEALTH CENTER PC60020422642219 E IRELAND RDNSOUTH BENDIN466142653M
917102376987810123072I20131115001767HUSBANDMICHAELRMPALMER COLLEGE CHIROPRACTIC - DAVENPORT2012CHIROPRACTICCHIROPRACTIC HEALTH CENTER PC60020422642219 E IRELAND RDNSOUTH BENDIN466142653M
1013960318371052550001I20140728000435PAPAKCASSANDRAELIZABETHFOTHER2011PODIATRYELEK LLC913334530913015 MISHAWAKA AVENSOUTH BENDIN466152347150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INCY
1118018905203779746664I20120511000165ASDELLBERNARDJMINDIANA UNIVERSITY SCHOOL OF DENTISTRY1980MAXILLOFACIAL SURGERYMICHIANA ORAL ANDMAXILLOFACIAL SURGERY LLC28606557501707 N MICHIGAN STNSOUTH BENDIN466011070Y
1218415011947214123074I20101119000365ELIASYAIRWMOTHER2010OPTOMETRYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STNSOUTH BENDIN466011069Y
1315887565719133178973I20110113000788TOMECROBERTJMCASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE1975PATHOLOGYSOUTH BEND MEDICAL FOUNDATION, INC397141134921530 N LAFAYETTE BLVDNSOUTH BENDIN466011004150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INC150018ELKHART GENERAL HOSPITAL, INC.230096STURGIS HOSPITAL INC150072MEMORIAL HOSPITALY
1418917613917214117241I20110209000173BODNARLINDALCSWFOTHER1972CLINICAL SOCIAL WORKERBODNAR COUNSELING, INC.4789864711117903 STATE RDNSOUTH BENDIN466351642Y
1513160090538123282605I20120613000377CHRISTIANSONLIBBYKFOTHER1992CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1619029849587214096650I20081030000273BROGLEJAMESFMOTHER1970CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1718312141054880814128I20141008001162LOVELYSANDRALEEFOTHER1983CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1819524525340840465266I20111214000419PROSSERDIANEJOHNSONFOTHER1989CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1912554386449638128481I20050119000252ANESTNICOLEPFMDUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE1999PATHOLOGYSOUTH BEND MEDICAL FOUNDATION, INC397141134921530 N LAFAYETTE BLVDNSOUTH BENDIN466011004150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150018ELKHART GENERAL HOSPITAL, INC.230096STURGIS HOSPITAL INC150072MEMORIAL HOSPITALY
2018312141054880814128I20141008001162LOVELYSANDRALEEFOTHER1983CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
2119524525340840465266I20111214000419PROSSERDIANEJOHNSONFOTHER1989CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
2212456306560840411385I20141024002085KAMMANKAESAMOTHER2014PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2318917613917214117241I20110209000173BODNARLINDALCSWFOTHER1972CLINICAL SOCIAL WORKERBODNAR COUNSELING, INC.4789864711117903 STATE RDSUITE 3NSOUTH BENDIN466351642Y
2418018905203779746664I20120511000165ASDELLBERNARDJMINDIANA UNIVERSITY SCHOOL OF DENTISTRY1980MAXILLOFACIAL SURGERYMICHIANA ORAL ANDMAXILLOFACIAL SURGERY LLC28606557501707 N MICHIGAN STSUITE 300NSOUTH BENDIN466011070Y
2513263502732163617564I20141007001224YIUJANETFUNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE2010PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723MY
2619129030632163666769I20130923000190MCDONALDFRANCISJMOTHER2007PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2717504729167113161605I20130924000352LEMMONKARENLFOTHER1975PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2816594633548022252303I20130926000825HENDERSONMICHAELKMOTHER2012PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2918513681959739360736I20110224000109WETZELBRENDAEFOTHER1981CLINICAL SOCIAL WORKERWETZEL THERAPY INC9234310228117903 STATE RDSUITE 3NSOUTH BENDIN466351642Y
3011840383821557589660I20140903001632WUERTEMBERGEREMILYLFOTHER2014PHYSICAL THERAPYLIFE IN BALANCE LLC165839630435838 W BRICK RDSUITE 104 BNSOUTH BENDIN466288420Y
3113664928293072505262I20040514000563GENTNERDONALDSMCSWOTHER1980CLINICAL SOCIAL WORKERINTERBEING, LLC49817699811300 S ST LOUIS BLVDSUITE 202NSOUTH BENDIN466173043Y
3219029849587214096650I20081030000273BROGLEJAMESFMOTHER1970CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
3314170527969335102631I20041108000942GILBERTNEILLMCSWOTHER1983CLINICAL SOCIAL WORKERNEIL GILBERT COUNSELING AND HEALING LLC77190447421914 LINCOLN WAY WNSOUTH BENDIN466161152Y
3413664928293072505262I20040514000563GENTNERDONALDSMCSWOTHER1980CLINICAL SOCIAL WORKERINTERBEING, LLC49817699811300 S ST LOUIS BLVDNSOUTH BENDIN466173043Y
3513160090538123282605I20120613000377CHRISTIANSONLIBBYKFOTHER1992CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
3618415011947214123074I20101119000365ELIASYAIRWMOTHER2010OPTOMETRYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STSUITE 210NSOUTH BENDIN466011069Y
3711840383821557589660I20140903001632WUERTEMBERGEREMILYLFOTHER2014PHYSICAL THERAPYLIFE IN BALANCE LLC165839630435838 W BRICK RDNSOUTH BENDIN466288420Y
3816394217468527292044I20131015002203LEBLANGMATTHEWBMOTHER2012PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
3910435997809638303944I20130927000370BLUMKATHRYNRFOTHER2011PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
4018717233383870772163I20110119000154CANADY NAGYKATHYJFINDIANA UNIVERSITY SCHOOL OF MEDICINE2001CLINICAL SOCIAL WORKER8527257922107 N EDDY STNSOUTH BENDIN466172920M
4113766111378022261874I20130104000103PRESTONANNALFOTHER1985CLINICAL PSYCHOLOGISTSAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.4587830807217195 CLEVELAND RDNSOUTH BENDIN466351415Y
4211141040985597933069I20110728000027GARTONSTACYLFINDIANA UNIVERSITY SCHOOL OF MEDICINE1995CLINICAL SOCIAL WORKERCANCER SOCIETY OF ST. JOSEPH COUNTY731511587023516 E JEFFERSON BLVDNSOUTH BENDIN466153034Y
4314179921998325140619I20070611000520YOONERICMMDWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE2002OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STSUITE 210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.YYY
4414977302618527013358I20100818001053SCHWARTZBRUCEHMSTATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE1994OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STSUITE 210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
4519624018690547152506I20040326001039LEEROBERTTMMDJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE1992OPHTHALMOLOGYRETINA AND VITREOUS LLC1759464449253822 GENERATIONS DRNSOUTH BENDIN466351543150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.YYY
4619625949297416146022I20110113000384JACOBSKRISTENMFUNIVERSITY OF IOWA COLLEGE OF MEDICINE1984PATHOLOGYSOUTH BEND MEDICAL FOUNDATION, INC397141134921530 N LAFAYETTE BLVDNSOUTH BENDIN466011004150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INC150018ELKHART GENERAL HOSPITAL, INC.230096STURGIS HOSPITAL INC150072MEMORIAL HOSPITALY
4714977302618527013358I20100818001053SCHWARTZBRUCEHMSTATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE1994OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STNSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
4816291606010547459166I20110113000611LANDGRAFJOHNWMUNIVERSITY OF MICHIGAN MEDICAL SCHOOL1978PATHOLOGYSOUTH BEND MEDICAL FOUNDATION, INC397141134921530 N LAFAYETTE BLVDNSOUTH BENDIN466011004150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150018ELKHART GENERAL HOSPITAL, INC.150072MEMORIAL HOSPITAL230096STURGIS HOSPITAL INCY
4919221163756305899451I20051012000535MARKOVICHALEXSMPTOTHER1997PHYSICAL THERAPYLIFE IN BALANCE LLC165839630435838 W BRICK RDNSOUTH BENDIN466288420Y
5019322955328022147453I20100524000707MUNNEKEKEITHMUNIVERSITY OF WISCONSIN MEDICAL SCHOOL1970CLINICAL SOCIAL WORKERSAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.4587830807217195 CLEVELAND RDNSOUTH BENDIN466351415Y

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Lindak Lindak

created Jul 02, 2013

updated Apr 13, 2016

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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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