EAST INDIANA RECOVERY, LLC


Address: 1528 Nw 5th St, Richmond, IN 47374-1844
Phone: 9374165442

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1528 NW 5TH ST
City RICHMOND
State IN
Zip Code 47374-1844

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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

Competitor

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City RICHMOND
Zip Code 47374

Improve Information

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Dataset Information

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.

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