EAST INDIANA RECOVERY, LLC (NPI# 1013418599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013418599 |
Entity Type | Organization |
Organization Name | EAST INDIANA RECOVERY, LLC |
Practice Address |
1528 Nw 5th St Richmond IN 47374-1844 |
Mailing Address |
117 S Dixie Dr Ste 3 Vandalia OH 45377-2142 |
Practice Telephone | 9374165442 |
Practice Fax Number | 7659350073 |
Mailing Telephone | 9374165442 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2018-02-21 |
Authorized Official Name | PAUL KOLODZIK (OWNER) |
Authorized Official Telephone | 9378256220 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1528 NW 5TH ST |
City | RICHMOND |
State | IN |
Zip Code | 47374-1844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215082813 | Steven E Stoller | Internal Medicine | 1528 Nw 5th St, Suite 100, Richmond, IN 47374-1844 | 2007-01-24 |
1730664145 | Connie Frances Siders | Counselor | 1528 Nw 5th St, Richmond, IN 47374-1844 | 2018-10-02 |
1437331618 | Institute for Dynamic Living Inc | Specialist | 1528 Nw 5th St, Suite 100, Richmond, IN 47374-1844 | 2007-11-29 |
1235256538 | Meridian Services Corp | Non-emergency Medical Transport (VAN) | 1528 Nw 5th St, Richmond, IN 47374-1844 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
Find all providers in zip 47374 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
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1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
1467824698 | Acorn Addiction Centers, LLC | Family Medicine | 1201 N Post Rd Ste 4, Indianapolis, IN 46219-4225 | 2015-10-27 |
1134306947 | Gerald Paul Myers | Family Medicine | 3 Park Row, Michigan City, IN 46360 | 2008-01-23 |
1043383680 | The Kolbe Center | Family Medicine | 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | 2006-11-15 |
1336211481 | Midwest Integrated Health Systems, P.C. | Family Medicine | 3300 W 15th Ave, Gary, IN 46404-1963 | 2006-11-14 |
1235209156 | Elmo Allen Griggs | Family Medicine | 2811 Washington Ave, Bedford, IN 47421-5310 | 2006-11-08 |
1194719757 | Lawrence Hastings Schoch | Family Medicine | 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 | 2005-09-09 |
1609340983 | Nwi Behavioral & Addiction Medicine LLC | Family Medicine | 7805 Taft St, Merrillville, IN 46410-5233 | 2019-01-19 |
1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
1215411020 | Stellhorn Wellness, LLC | Family Medicine | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2018-09-18 |
Find all providers with the same taxonomy |
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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.