DR MARY TILAK P C (NPI# 1003096900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003096900 |
| Entity Type | Organization |
| Organization Name | DR MARY TILAK P C |
| Practice Address |
2241 45th St Highland IN 46322-2601 |
| Practice Telephone | 2199228051 |
| Practice Fax Number | 2199228608 |
| Mailing Telephone | 2199228051 |
| Mailing Fax Number | 2199228608 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2011-04-14 |
| Authorized Official Name | MARY N. TILAK (PRESIDENT) |
| Authorized Official Telephone | 2199228051 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS | 90001352 | 01 |
| IN | ANTHEM | 000000541656 | 01 |
| Street Address |
2241 45TH ST |
| City | HIGHLAND |
| State | IN |
| Zip Code | 46322-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518054352 | Mary Tilak | Internal Medicine | 2241 45th St, Highland, IN 46322-2601 | 2006-10-05 |
| 1437784451 | Bethany Michaelis | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2020-03-10 |
| 1992272405 | Samantha Nicole Lewis | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2018-11-01 |
| 1871039875 | Michelle Lynn Masterson | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2017-01-13 |
| 1023462488 | Kelly Leigh Tarr | Dietitian, Registered | 2241 45th St, Highland, IN 46322-2601 | 2016-04-21 |
| 1629447891 | Elizabeth Case | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2015-09-17 |
| 1871922740 | Nelli Khallak | Nurse Practitioner | 2241 45th St, Highland, IN 46322-2601 | 2013-11-01 |
| 1700921541 | St. Mary Medical Center | Internal Medicine | 2241 45th St, Highland, IN 46322-2601 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
| 1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
| 1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
| 1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
| 1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
| 1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
| 1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
| 1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
| Find all providers in zip 46322 | ||||
| Taxonomy Code | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523750 | Ageless Center LLC | Internal Medicine | 201 Pennsylvania Pkwy Ste 201, Indianapolis, IN 46280-1393 | 2017-12-04 |
| 1497108468 | Midwest Wellness LLC | Internal Medicine | 6822 E 82nd St, Suite 310, Indianapolis, IN 46250-1676 | 2016-07-14 |
| 1356525133 | Dr. Mary Tilak PC | Internal Medicine | 209 East 86th Avenue, Merrillville, IN 46322-2601 | 2007-12-28 |
| 1649750035 | Cynthia Glentzer | Internal Medicine | 5230 E Stop 11 Rd Ste 190, Indianapolis, IN 46237-6399 | 2018-08-15 |
| 1972876928 | Gregory Allen Thomas | Internal Medicine | 41 Us Highway 41, Schererville, IN 46375-1201 | 2012-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.