STEPHEN KROCZEK (NPI# 1013987767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013987767 |
| Entity Type | Individual |
| Full Name | STEPHEN KROCZEK |
| Credential | M.D. |
| Practice Address |
1225 E Coolspring Ave Michigan City IN 46360-6312 |
| Practice Telephone | 2198785034 |
| Practice Fax Number | 2198785002 |
| Mailing Telephone | 2198785034 |
| Mailing Fax Number | 2198785002 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01020134A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100261620 | 05 |
| Street Address |
1225 E COOLSPRING AVE |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864497 | Stacey Colleen Leva | Family Medicine | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2005-07-13 |
| 1073125076 | Lakeshore Eye Consultants, LLC | Ophthalmology | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2020-08-20 |
| 1518423250 | Molly Majot | Dietitian, Registered | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2019-02-19 |
| 1427556232 | Nikole Pennington | Nurse Practitioner | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2018-01-26 |
| 1174048813 | Anna R Salyer | Occupational Therapist | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2017-08-03 |
| 1538608765 | Emily Walters | Dietitian, Registered | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2017-02-21 |
| 1184172140 | Rita Anne Halac | Nurse Practitioner | 1225 E Coolspring Ave, 2c, Michigan City, IN 46360-6312 | 2016-09-19 |
| 1609233212 | Franciscan Physician Network | Clinic/Center | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2016-01-27 |
| 1528453875 | Jennifer O'dor | Nurse Practitioner | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2015-04-03 |
| 1992101422 | Lauren Ashleigh Geers | Occupational Therapist | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2014-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378558 | Douglas J Vanputten | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2005-12-23 |
| 1275515710 | Marc A Booth | Ophthalmology | 1225 E Coolspring Ave Ste 1-b, Michigan City, IN 46360-6312 | 2005-11-18 |
| 1073125076 | Lakeshore Eye Consultants, LLC | Ophthalmology | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2020-08-20 |
| 1700407384 | Lakeshore Eye Specialists PC | Ophthalmology | 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2020-05-05 |
| 1548439219 | Douglas J Van Putten Md Facs Inc | Ophthalmology | 8865 W 400 N, Michigan City, IN 46360-9222 | 2008-02-26 |
| 1306943436 | Dunes Optical, LLC | Ophthalmology | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2006-09-20 |
| 1306852520 | Adeela Masood Alizai | Ophthalmology | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2006-07-31 |
| 1558319343 | Richard James Houck | Ophthalmology | 1225 E Coolspring Ave, Suite 1a, Michigan City, IN 46360-6312 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1467003756 | Rachel Davis | Ophthalmology | 14637 N Gray Rd, Westfield, IN 46062-9274 | 2019-09-27 |
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1033631098 | Cataract Vision Institute Indiana LLC | Ophthalmology | 11595 North Meridian, Ste 175, Carmel, IN 46032 | 2017-07-12 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.