MAW MEDICINE PC (NPI# 1013191139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013191139 |
| Entity Type | Organization |
| Organization Name | MAW MEDICINE PC |
| Other Organization Name | MICHAEL A. WOODS |
| Practice Address |
802 Laporte Ave Suite 102 Valparaiso IN 46383-5860 |
| Mailing Address |
709 Plaza Dr Ste 2 Suite 164 Chesterton IN 46304-1573 |
| Practice Telephone | 2194775242 |
| Mailing Telephone | 2196896637 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | MS. JACKIE WOODS (PHYSICIAN BILLER) |
| Authorized Official Telephone | 2196896637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
01048590A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | DE3546 | 01 | |
| IN | 200203200 | 05 | |
| IN | PER SONANPI-MICHAEL WOODS | 1225130867 | 01 |
| Other Name | Type Code |
|---|---|
| Michael A. Woods | Doing Business As Name - Organization |
| Street Address |
802 LAPORTE AVE SUITE 102 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-5860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678765 | Robert L Brunk II | Emergency Medicine | 802 Laporte Ave, Suite 102, Valparaiso, IN 46383-5860 | 2006-05-19 |
| 1013262351 | Wellness Group, P.C. | Clinic/Center | 802 Laporte Ave, Porter Hospital Wound Care Center, Valparaiso, IN 46383-5860 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966331 | Robert L Brunk II Do PC | Clinic/Center | 505 Robinhood Ct, Valparaiso, IN 46385-8021 | 2007-11-26 |
| 1902145394 | Prima Bella Women's Health, PC | Clinic/Center | 880 Eastport Centre Dr, Suite 200, Valparaiso, IN 46383-2906 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654070 | Providence Medical Associates LLC | Clinic/Center | 1935 N Capitol Ave Ste 107, Indianapolis, IN 46202-6403 | 2020-09-18 |
| 1447866462 | Firstlines, Tjs, LLC | Clinic/Center | 11725 Illinois St Ste 550, Carmel, IN 46032-3009 | 2020-09-16 |
| 1902429251 | Telacare Health Solutions, LLC | Clinic/Center | 11650 Olio Rd Ste 1000-172, Fishers, IN 46037-7619 | 2020-05-21 |
| 1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
| 1285164509 | Better Quality of Life Care Md, PC | Clinic/Center | 8334 Beech Ave, Munster, IN 46321-1440 | 2017-06-19 |
| 1639622236 | Fordem Health, LLC | Clinic/Center | 1313 Park Dr, Munster, IN 46321-2634 | 2016-07-31 |
| 1447619747 | Sanford Dermatology | Clinic/Center | 400 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3205 | 2016-02-15 |
| 1306222757 | Midwest Wellness LLC | Clinic/Center | 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 | 2015-08-08 |
| 1053657775 | Earthen Vessels Nurse Midwifery LLC | Clinic/Center | 251 Airport North Office Park, Fort Wayne, IN 46825-6702 | 2012-12-27 |
| 1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on MAW MEDICINE PC.
| 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.