DR. ELIZABETH MARIE LAUBER (NPI# 1053308551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053308551 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MARIE LAUBER |
| Credential | M.D. |
| Practice Address |
5215 Holy Cross Pkwy Mishawaka IN 46545-1469 |
| Mailing Address |
810 Park Pl Mishawaka IN 46545-3520 |
| Practice Telephone | 5743352521 |
| Practice Fax Number | 5743352262 |
| Mailing Telephone | 5743352521 |
| Mailing Fax Number | 5743352262 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301082777 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01028636A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 4301082777 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | OH MEDICAID | 3002048 | 01 |
| IN | ANTHEM | 000000573680 | 01 |
| IN | BCBS | 000000758110 | 01 |
| IN | 100223240 | 05 | |
| IN | RAILROAD MEDICARE | P00632885 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| Street Address |
5215 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422002 | Jonathan Neil Shenk | Emergency Medicine | 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | 2005-07-21 |
| 1962022145 | Caramia Hummer | Respiratory Therapist, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2020-04-17 |
| 1174174635 | Laura Droege | Registered Nurse | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2019-09-26 |
| 1558916668 | Jordan Thomas Alberda | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2019-08-06 |
| 1881161214 | Alexi Bellchambers | Physician Assistant | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-10-24 |
| 1033697529 | Hospitalist Medicine Physicians of Indiana-tcg, LLC | Internal Medicine | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-08-06 |
| 1154818011 | Mary Irvin | Specialist/Technologist | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-04-17 |
| 1093219008 | Mayelin Lora-williams | Dietitian, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-03-23 |
| 1013446566 | Gevorg Martirosyan | Student in an Organized Health Care Education/Training Program | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-06-08 |
| 1699207530 | Julie Sauer | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653001 | Premier Internal Medicine LLC | Internal Medicine | 520 Park Place Ct Ste 300, Mishawaka, IN 46545-3581 | 2018-06-19 |
| 1992960850 | Won K Chung | Internal Medicine | 3838 N Main St Ste 1c, Mishawaka, IN 46545-3100 | 2008-07-21 |
| 1548476120 | Alexander C Gatzimos | Internal Medicine | 212 West Edison Road, Suite B, Mishawaka, IN 46545 | 2007-05-14 |
| 1740235183 | Dahan Hussein Al-fadhl | Internal Medicine | 611 E Douglas, Suite 309, Mishawaka, IN 46545-1467 | 2006-05-24 |
| 1912952151 | Shaya Mokfi | Internal Medicine | 520 Park Place Ct, Ste 300, Mishawaka, IN 46545-3581 | 2006-05-24 |
| 1770574014 | Richard Joel Wein | Internal Medicine | 3625 Park Pl W, Ste 100, Mishawaka, IN 46545-3561 | 2005-11-04 |
| 1356345797 | Thomas P Varied | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2005-06-13 |
| 1881211878 | Aims-med, LLC | Internal Medicine | 1113 Mossy Ln, Mishawaka, IN 46544-9055 | 2020-06-25 |
| 1366097016 | Mids, LLC | Internal Medicine | 3838 N Main St Ste 1c, Mishawaka, IN 46545-3100 | 2019-08-08 |
| 1033697529 | Hospitalist Medicine Physicians of Indiana-tcg, LLC | Internal Medicine | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-08-06 |
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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.