MUNSTER MEDICAL RESEARCH FOUNDATIO (NPI# 1033443106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033443106 |
| Entity Type | Organization |
| Organization Name | MUNSTER MEDICAL RESEARCH FOUNDATIO |
| Other Organization Name | INNOVATIVE WOMENS HEALTH |
| Practice Address |
3545 Arbors Street Portage IN 46368-4297 |
| Mailing Address |
9660 Wicker Ave St John IN 46373-9487 |
| Practice Telephone | 2197596092 |
| Practice Fax Number | 2197596580 |
| Mailing Telephone | 2193657620 |
| Mailing Fax Number | 2192262285 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | DONALD P FESKO (CEO) |
| Authorized Official Telephone | 2198361600 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSTER MEDICAL RESEARCH FOUNDATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200966130B | 05 | |
| IN | ANTHEM | 000000642264 | 01 |
| IN | 200966130A | 05 |
| Other Name | Type Code |
|---|---|
| Innovative Womens Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801053426 | Munster Medical Research Foundatio | Family Medicine | 505 West Us Highway 30, Schererville, IN 46375-2650 | 2008-05-21 |
| 1720063746 | Munster Medical Research Foundatio | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2005-12-13 |
| Street Address |
3545 ARBORS STREET |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925333 | St Mary Medical Center Inc | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2010-07-01 |
| 1639498975 | St Mary Medical Center Inc | Urology | 3545 Arbors Street, Portage, IN 46368-4298 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1427094911 | Victoria L Potoczak | Obstetrics & Gynecology | 3618 S 4th St, Terre Haute, IN 47802-5543 | 2006-06-22 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1871974337 | Functional Medicine of Carmel Inc. | Obstetrics & Gynecology | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2015-06-10 |
| 1639566490 | Olivia Higgins | Obstetrics & Gynecology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2015-04-20 |
| 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.