DR. STEPHEN G BRUEGGEMANN (NPI# 1053303164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053303164 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN G BRUEGGEMANN |
| Credential | MD |
| Practice Address |
2475 Northpark Dr Ste 30 Columbus IN 47203-2215 |
| Practice Telephone | 8123723721 |
| Practice Fax Number | 8123723465 |
| Mailing Telephone | 8123723721 |
| Mailing Fax Number | 8123723465 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01035246 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BS | 000000089452 | 01 |
| IN | 100083420A | 05 |
| Street Address |
2475 NORTHPARK DR STE 30 |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47203-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314496 | Midwest Eye Consultants, P.C. | Optometrist | 2475 Northpark Dr Ste 30, Columbus, IN 47203-2215 | 2020-07-30 |
| 1710077144 | Columbus Eye Center | Ophthalmology | 2475 Northpark Dr Ste 30, Columbus, IN 47203-2215 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1013319367 | Sandra Smith | Nurse Practitioner | 2329 North Marr Road, Wow Clinic, Columbus, IN 47203 | 2014-09-18 |
| 1174939680 | Hana Hoffman | Occupational Therapist | 2625 Foxpointe Dr., Suite A, Columbus, IN 47203 | 2014-07-03 |
| 1801219209 | Michelle Ann Ballard | Alzheimer Center (Dementia Center) | 2564 Foxpointe Drive, Keepsake Village, Columbus, IN 47203 | 2014-01-22 |
| 1639454606 | Jaime Denise Miller | Physical Therapist | 2625 Foxpointe Dr. 3a, Columbus, IN 47203 | 2011-10-20 |
| 1538443155 | Jessica Paige Laymon | Social Worker | 1680 Whitney Court, Columbus, IN 47203 | 2011-09-30 |
| 1720375124 | Hannah C Burke | Physical Therapist | 2625 Foxpointe Dr, Columbus, IN 47203 | 2011-07-06 |
| 1033419437 | Patricia J. Lisinski | Physician Assistant | 2510 Sandcrest Drive, Columbus, IN 47203 | 2010-11-01 |
| 1245495175 | David Brent Gadberry | Registered Nurse | 2122 Sumpter Trl, Columbus, IN 47203 | 2008-07-21 |
| 1710003231 | Ellen H Rudolph | Dentist | 3200 Sycamore Ct. Suite 1-c, Columbus, IN 47203 | 2007-03-22 |
| Find all providers in zip 47203 | ||||
| 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 |
|---|---|---|---|---|
| 1053773580 | Andrew Joseph Mueller | Ophthalmology | 262 Neil Ave Ste 430, Columbus, OH 43215-7312 | 2016-03-23 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1396087946 | Sean Lutmer | Ophthalmology | 7667 Pine Ridge Dr, Columbus, GA 31909-2128 | 2013-03-21 |
| 1093941684 | Albert Henlay Laws | Ophthalmology | 200 4th Ave S, Columbus, MS 39701-5645 | 2009-06-09 |
| 1417131558 | Midwest Retina, Inc | Ophthalmology | 500 E Main St Ste 300, Columbus, OH 43215-5369 | 2007-12-26 |
| 1740488378 | Carissa Klaas I | Ophthalmology | 3135 Middle Dr, Columbus, IN 47203-4472 | 2007-07-05 |
| 1710050141 | Phyllis Visocan | Ophthalmology | 1669 W Lane Ave, Columbus, OH 43221-3339 | 2006-11-15 |
| 1962573808 | Heather Caroline Koelling | Ophthalmology | 2929 Kenny Road, Suite 150, Columbus, OH 43221-2415 | 2006-11-13 |
| 1265503254 | Louise Anne Doyle | Ophthalmology | 4830 Knightsbridge Blvd Ste G, Columbus, OH 43214-2300 | 2006-11-13 |
| 1114008091 | Andrea Knellinger Sawchyn | Ophthalmology | 915 Olentangy River Rd Ste 5000, Columbus, OH 43212-3154 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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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.