DR. KEVIN EDWARD ZAWACKI (NPI# 1023189677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023189677 |
Entity Type | Individual |
Full Name | DR. KEVIN EDWARD ZAWACKI |
Credential | MD |
Practice Address |
1312 W. Arch Haven Avenue Bloomington IN 47403 |
Mailing Address |
Po Box 1329 Bloomington IN 47402 |
Practice Telephone | 8126764144 |
Practice Fax Number | 8123398344 |
Mailing Telephone | 8123533087 |
Enumeration Date | 2006-11-13 |
Last Update Date | 2016-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01074815A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201267640 | 05 |
Street Address |
1312 W. ARCH HAVEN AVENUE |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821974 | Jennifer Petersen-goldspiel | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-16 |
1518366947 | Atiq Zamani | Physician Assistant | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2014-08-21 |
1205276177 | Julianne Frey | Physician Assistant | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2013-06-25 |
1780796417 | Andrew Dundee Ferguson | Internal Medicine | 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 | 2006-08-31 |
1093773376 | Mohan Shenoy | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2006-05-03 |
1164429411 | James S Fix | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-07-01 |
1770588568 | Gregory S. Heumann | Internal Medicine | 1312 W. Arch Haven Avenue, Bloomington, IN 47403 | 2005-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
Find all providers in zip 47403 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881782878 | St Joseph Medical Center | Internal Medicine | 1505 Eastland Dr, Suite 110, Bloomington, IL 61701-3534 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710485594 | Optimal Health Network of Indiana LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2018-01-26 |
1205275948 | Benjamin Thomas Maatman | Internal Medicine | 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 | 2013-06-16 |
1730389586 | Akhtar Parvaiz Md | Internal Medicine | 1951 W 45th Ave, Griffith, IN 46319-3703 | 2007-07-20 |
1225058787 | William E Lehmkuhler, M.d. P.C. | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2006-07-20 |
1326073586 | Srinivasarao Manchikalapudi | Internal Medicine | 2109 Green Valley Rd, New Albany, IN 47150 | 2006-07-12 |
1548233158 | Kingsley Annan | Internal Medicine | 1928 S Dixon Rd, Kokomo, IN 46902-7302 | 2006-02-13 |
1194724377 | Eric F Schulte | Internal Medicine | 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 | 2005-07-19 |
1386283281 | Seyal Cardiology LLC | Internal Medicine | 1455 Cedar St Ste D, Clarksville, IN 47129-7700 | 2019-12-26 |
1710440839 | 1st Choice Cardiovascular Associates LLC | Internal Medicine | 701 Superior Ave Ste J, Munster, IN 46321-4038 | 2019-04-08 |
1972065415 | Cind Care of In II, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 47403 |
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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.