JAMES A SERWATKA (NPI# 1053453365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053453365 |
| Entity Type | Individual |
| Full Name | JAMES A SERWATKA |
| Credential | MD |
| Practice Address |
400 Teagarden Community Health Center La Porte IN 46350 |
| Mailing Address |
1007 Lincolnway Post Office Box 1539 La Porte IN 46350-3201 |
| Practice Telephone | 2193260043 |
| Practice Fax Number | 2193268909 |
| Mailing Telephone | 2193260043 |
| Mailing Fax Number | 2193268909 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01023702A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100092150A | 05 |
| Street Address |
400 TEAGARDEN COMMUNITY HEALTH CENTER |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275091977 | James Sprecher | Family Medicine | 115 Nilewood Dr, La Porte, IN 46350-2816 | 2019-03-12 |
| 1295744175 | John E Rogers | Family Medicine | 502 Legacy Plz W, La Porte, IN 46350-5254 | 2006-08-07 |
| 1447275201 | Rakesh Patel | Family Medicine | 10611 W Fairmont Pkwy, La Porte, TX 77571-6006 | 2006-07-13 |
| 1750319505 | Robert Bruce Mcclure | Family Medicine | 900 I St Fl 2, La Porte, IN 46350 | 2006-06-29 |
| 1871555052 | Abdul R Moosa | Family Medicine | 401 West Fairmont Parkway, Suite # D, La Porte, TX 77571-6305 | 2006-04-04 |
| 1922073816 | Presley Joe Mock Jr. | Family Medicine | 1200 Highway 146 S, Suite 250, La Porte, TX 77571-6131 | 2006-02-22 |
| 1992794879 | Clayton Bert Alexander | Family Medicine | 300 Wile Street, Suite 1, La Porte, IN 46350 | 2005-10-14 |
| 1841284007 | Suzanne Marie Schafer | Family Medicine | 1005 S. Broadway St., La Porte, TX 77571 | 2005-09-02 |
| 1649272907 | Robert D Johnston | Family Medicine | 11006 Spencer Hwy, La Porte, TX 77571 | 2005-06-01 |
| 1619239795 | Philip Patrick Maher | Family Medicine | 900 I St, La Porte, IN 46350-5533 | 2012-06-13 |
| Find all providers in LA PORTE | ||||
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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.