DR. KATHRYN A. HANLON (NPI# 1033165428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033165428 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN A. HANLON |
| Credential | M.D. |
| Practice Address |
1815 E Ireland Rd South Bend IN 46614-2845 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471700 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01038697A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS BMG NEUROSURGERY | 000000971095 | 01 |
| IN | 100098910A | 05 | |
| IN | BCBS BMG IRELAND RD | 000000908776 | 01 |
| Street Address |
1815 E IRELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733101 | Douglas Mayer David | Family Medicine | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2005-10-06 |
| 1699322446 | Evelin Keultjes | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2019-08-26 |
| 1548766249 | Dena Nichole Garnett | Physical Therapist | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2018-04-02 |
| 1467909697 | Sarah Anne Martin | Physician Assistant | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2016-09-06 |
| 1245685510 | Kristin Jamison | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2016-04-25 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1881085967 | Shanti T Dalson | Physical Therapist | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2015-02-11 |
| 1144660838 | Amanda Leanne Springer | Family Medicine | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2013-06-27 |
| 1225321722 | Luiz C Pantalena Filho | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2011-05-17 |
| 1437388220 | Jill M. Maddox | Nurse Practitioner | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| 1760766968 | John Thomas Miller | Pharmacist | 1010 E Ireland Rd, South Bend, IN 46614 | 2011-10-06 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861421141 | Beacon Medical Group, Inc. | Psychiatry & Neurology | 100 Navarre Pl Ste 6600, South Bend, IN 46601 | 2006-06-30 |
| 1821024043 | Virgil A Dibiase | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-23 |
| 1316936123 | John G Aranda | Psychiatry & Neurology | 1619 E Colfax Ave, South Bend, IN 46617-2603 | 2005-10-14 |
| 1528201076 | Thomas Leahy | Psychiatry & Neurology | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2009-04-14 |
| 1134378375 | Satya N Ramiah | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2008-09-11 |
| 1528274313 | Edward Daniel Nusbaum | Psychiatry & Neurology | 403 E Madison St, South Bend, IN 46617-2322 | 2007-05-16 |
| 1336352806 | Jose Luis Lopez Jr. | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2007-05-08 |
| 1134262595 | North Central Neurology, LLC | Psychiatry & Neurology | 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 | 2007-02-15 |
| 1720016926 | James W Kozelka | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-28 |
| 1043208739 | Bridget Patterson-marshall | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2005-10-07 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
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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.