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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
813960318371052550001I20140728000435PAPAKCASSANDRAELIZABETHFOTHER2011PODIATRYELEK LLC913334530913015 MISHAWAKA AVENSOUTH BENDIN466152347150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150058MEMORIAL HOSPITAL OF SOUTH BEND INCY
918018905203779746664I20120511000165ASDELLBERNARDJMINDIANA UNIVERSITY SCHOOL OF DENTISTRY1980MAXILLOFACIAL SURGERYMICHIANA ORAL ANDMAXILLOFACIAL SURGERY LLC28606557501707 N MICHIGAN STNSOUTH BENDIN466011070Y
1018415011947214123074I20101119000365ELIASYAIRWMOTHER2010OPTOMETRYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STNSOUTH BENDIN466011069Y
1118917613917214117241I20110209000173BODNARLINDALCSWFOTHER1972CLINICAL SOCIAL WORKERBODNAR COUNSELING, INC.4789864711117903 STATE RDNSOUTH BENDIN466351642Y
1213160090538123282605I20120613000377CHRISTIANSONLIBBYKFOTHER1992CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1319029849587214096650I20081030000273BROGLEJAMESFMOTHER1970CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1418312141054880814128I20141008001162LOVELYSANDRALEEFOTHER1983CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1519524525340840465266I20111214000419PROSSERDIANEJOHNSONFOTHER1989CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVENSOUTH BENDIN466172804Y
1618312141054880814128I20141008001162LOVELYSANDRALEEFOTHER1983CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
1719524525340840465266I20111214000419PROSSERDIANEJOHNSONFOTHER1989CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
1812456306560840411385I20141024002085KAMMANKAESAMOTHER2014PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
1918917613917214117241I20110209000173BODNARLINDALCSWFOTHER1972CLINICAL SOCIAL WORKERBODNAR COUNSELING, INC.4789864711117903 STATE RDSUITE 3NSOUTH BENDIN466351642Y
2018018905203779746664I20120511000165ASDELLBERNARDJMINDIANA UNIVERSITY SCHOOL OF DENTISTRY1980MAXILLOFACIAL SURGERYMICHIANA ORAL ANDMAXILLOFACIAL SURGERY LLC28606557501707 N MICHIGAN STSUITE 300NSOUTH BENDIN466011070Y
2113263502732163617564I20141007001224YIUJANETFUNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE2010PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723MY
2219129030632163666769I20130923000190MCDONALDFRANCISJMOTHER2007PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2317504729167113161605I20130924000352LEMMONKARENLFOTHER1975PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2416594633548022252303I20130926000825HENDERSONMICHAELKMOTHER2012PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
2518513681959739360736I20110224000109WETZELBRENDAEFOTHER1981CLINICAL SOCIAL WORKERWETZEL THERAPY INC9234310228117903 STATE RDSUITE 3NSOUTH BENDIN466351642Y
2613664928293072505262I20040514000563GENTNERDONALDSMCSWOTHER1980CLINICAL SOCIAL WORKERINTERBEING, LLC49817699811300 S ST LOUIS BLVDSUITE 202NSOUTH BENDIN466173043Y
2719029849587214096650I20081030000273BROGLEJAMESFMOTHER1970CLINICAL PSYCHOLOGISTJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
2814170527969335102631I20041108000942GILBERTNEILLMCSWOTHER1983CLINICAL SOCIAL WORKERNEIL GILBERT COUNSELING AND HEALING LLC77190447421914 LINCOLN WAY WNSOUTH BENDIN466161152Y
2913664928293072505262I20040514000563GENTNERDONALDSMCSWOTHER1980CLINICAL SOCIAL WORKERINTERBEING, LLC49817699811300 S ST LOUIS BLVDNSOUTH BENDIN466173043Y
3013160090538123282605I20120613000377CHRISTIANSONLIBBYKFOTHER1992CLINICAL SOCIAL WORKERJAMES F. BROGLE, PH.D., P.C.62049956405828 E COLFAX AVESTRESS RECOVERY CENTERNSOUTH BENDIN466172804Y
3118415011947214123074I20101119000365ELIASYAIRWMOTHER2010OPTOMETRYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STSUITE 210NSOUTH BENDIN466011069Y
3216394217468527292044I20131015002203LEBLANGMATTHEWBMOTHER2012PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
3310435997809638303944I20130927000370BLUMKATHRYNRFOTHER2011PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723M
3418717233383870772163I20110119000154CANADY NAGYKATHYJFINDIANA UNIVERSITY SCHOOL OF MEDICINE2001CLINICAL SOCIAL WORKER8527257922107 N EDDY STNSOUTH BENDIN466172920M
3513766111378022261874I20130104000103PRESTONANNALFOTHER1985CLINICAL PSYCHOLOGISTSAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.4587830807217195 CLEVELAND RDNSOUTH BENDIN466351415Y
3611141040985597933069I20110728000027GARTONSTACYLFINDIANA UNIVERSITY SCHOOL OF MEDICINE1995CLINICAL SOCIAL WORKERCANCER SOCIETY OF ST. JOSEPH COUNTY731511587023516 E JEFFERSON BLVDNSOUTH BENDIN466153034Y
3714179921998325140619I20070611000520YOONERICMMDWAYNE 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
3814977302618527013358I20100818001053SCHWARTZBRUCEHMSTATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE1994OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STSUITE 210NSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
3919624018690547152506I20040326001039LEEROBERTTMMDJOHNS 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
4014977302618527013358I20100818001053SCHWARTZBRUCEHMSTATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE1994OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STNSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
4119322955328022147453I20100524000707MUNNEKEKEITHMUNIVERSITY OF WISCONSIN MEDICAL SCHOOL1970CLINICAL SOCIAL WORKERSAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.4587830807217195 CLEVELAND RDNSOUTH BENDIN466351415Y
4219726328263678635216I20081216000522WHITLOWCRYSTALAFOTHER2002CLINICAL SOCIAL WORKERKATIE L STEELE PHD WELLNESS ASSOCIATES PC599187339042025 EDISON RD AWELLNESS ASSOCIATESNSOUTH BENDIN466375600Y
4319726328263678635216I20081216000522WHITLOWCRYSTALAFOTHER2002CLINICAL SOCIAL WORKERKATIE L STEELE PHD WELLNESS ASSOCIATES PC599187339042025 EDISON RD ANSOUTH BENDIN466375600Y
4415282223877113183088I20120720000240VANDERHEYDENTHOMASRJR.MCHICAGO COLLEGE OF OSTEOPATHIC MEDICINE2006INTERNAL MEDICINEGASTROENTEROLOGYMICHIANA GASTROENTEROLOGY, INC2163529892717501 GENERATIONS DRNSOUTH BENDIN466351589150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.150076SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS INC150058MEMORIAL HOSPITAL OF SOUTH BEND INC150026GOSHEN HOSPITAL ASSOCIATION INC151313WOODLAWN HOSPITALY
4510230179023779475827I20040325000777HAUCHTHOMASLSR.MMDUNIVERSITY OF MICHIGAN MEDICAL SCHOOLOPHTHALMOLOGYRETINA AND VITREOUS LLC1759464449253822 GENERATIONS DRNSOUTH BENDIN466351543150058MEMORIAL HOSPITAL OF SOUTH BEND INCYYY
4614170407187517191562I20131008000080REDFEARNPAMELASFOTHER1998PHYSICAL THERAPYMCDONALD PHYSICAL THERAPY044638665081005 N HICKORY RDNSOUTH BENDIN466153723MY
4715583665186204846082I20060424000350MORTONTOMLESLIEMODINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY1984OPTOMETRYEYECARE ASSOCIATES OF MICHIANA LLC8123030624417477 GENERATIONS DRNSOUTH BENDIN466351584YY
4816394829048224220942I20101012001392OFFERLEKRISTINAFINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY2010OPTOMETRYEYECARE ASSOCIATES OF MICHIANA LLC8123030624417477 GENERATIONS DRNSOUTH BENDIN466351584MY
4914179921998325140619I20070611000520YOONERICMMDWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE2002OPHTHALMOLOGYADVANCED OPHTHALMOLOGY OF MICHIANA LLC36785284034707 N MICHIGAN STNSOUTH BENDIN466011069150058MEMORIAL HOSPITAL OF SOUTH BEND INC150012SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC.YYY
5015189998462466520861I20081013000479STEELEKATHERINELFOTHER1993CLINICAL PSYCHOLOGISTKATIE L STEELE PHD WELLNESS ASSOCIATES PC599187339042025 EDISON RD AWELLNESS ASSOCIATESNSOUTH BENDIN466375600Y

About

Lindak Lindak

created Jul 02, 2013

updated May 19, 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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