MUNSTER MEDICAL RESEARCH FOUNDATION INC (NPI# 1053621425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053621425 |
| Entity Type | Organization |
| Organization Name | MUNSTER MEDICAL RESEARCH FOUNDATION INC |
| Other Organization Name | COMMUNITY HOSPITAL WOUND OSTOMY CLINIC |
| Practice Address |
901 Macarthur Blvd 1st Floor West Pavilion Munster IN 46321-2901 |
| Practice Telephone | 2198367713 |
| Practice Fax Number | 2198367083 |
| Mailing Telephone | 2198367713 |
| Mailing Fax Number | 2198367083 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| 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 |
|---|---|---|---|---|---|
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270570 | 05 |
| Other Name | Type Code |
|---|---|
| COMMUNITY HOSPITAL WOUND OSTOMY CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346567401 | Munster Medical Research Foundation Inc | Obstetrics & Gynecology | 1400 S Lake Park Avenue, Ste 205, Hobart, IN 46342-6790 | 2010-04-29 |
| 1447242854 | Munster Medical Research Foundation Inc | Internal Medicine | 1650 45th Ave, Suite C, Munster, IN 46321-3962 | 2005-08-22 |
| 1396744389 | Munster Medical Research Foundation Inc | Obstetrics & Gynecology | 9100 Columbia Ave, Munster, IN 46321-2907 | 2005-07-20 |
| 1588663579 | Munster Medical Research Foundation Inc | Family Medicine | 800 Macarthur Boulevard, Ste 11, Munster, IN 46321-2917 | 2005-07-20 |
| 1750697348 | Munster Medical Research Foundation Inc | Anesthesiology | 4321 Fir Street, East Chicago, IN 46312 | 2010-08-20 |
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1386956613 | Munster Medical Research Foundation Inc | Obstetrics & Gynecology | 1551 S Sturdy Road, Valparaiso, IN 46383-7883 | 2010-07-01 |
| 1124343439 | Munster Medical Research Foundation Inc | Family Medicine | 9660 Wicker Avenue, Saint John, IN 46373-9487 | 2010-03-30 |
| 1588989891 | Munster Medical Research Foundation Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2010-03-30 |
| 1184948721 | Munster Medical Research Foundation Inc | Family Medicine | 13963 Morse Street, Cedar Lake, IN 46303-9639 | 2010-03-25 |
| Street Address |
901 MACARTHUR BLVD 1ST FLOOR WEST PAVILION |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273077 | Matthew Fitzpatrick | Radiology | 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 | 2005-08-23 |
| 1033710561 | Jonathan Chua | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-11-02 |
| 1649879842 | John Hurley Jr. | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-10-20 |
| 1942812391 | Cathrine Roels | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-18 |
| 1396355988 | Nicole Kaminsky | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-07 |
| 1992314819 | Jennifer Biank | Registered Nurse | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-07-27 |
| 1598374704 | Amber Nicole Hudson | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-24 |
| 1700495942 | Alexa Catherine Klimek | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1437768611 | Hailey Corrinne Estes | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1154939007 | Betsy Abraham | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104349422 | Julie Ann Mantis | Clinical Nurse Specialist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235653908 | Amanda J Blanton | Clinical Nurse Specialist | 350 W Columbia St Ste 350, Evansville, IN 47710-5610 | 2017-08-03 |
| 1144657123 | Tanya May Clary | Clinical Nurse Specialist | 11725 N. Illinois St, Suite 350, Carmel, IN 46032-3009 | 2013-10-04 |
| 1205117454 | Deanna L. Massie | Clinical Nurse Specialist | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2011-09-01 |
| 1851471221 | Margaret Rose Payne | Clinical Nurse Specialist | 850 N Meridian St, 2nd Floor, Indianapolis, IN 46204-1098 | 2006-10-17 |
| 1720090947 | Kimberly Mellencamp Freeman | Clinical Nurse Specialist | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2006-08-13 |
| 1710944863 | Penni Lorraine Cremer | Clinical Nurse Specialist | 1424 E 91st St, Indianapolis, IN 46240-1902 | 2006-05-01 |
| 1902864036 | Karen E. Hughes | Clinical Nurse Specialist | 1345 Unity Pl Ste 135, Lafayette, IN 47905 | 2006-05-01 |
| 1558978353 | Ann Allison | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-25 |
| 1518592278 | Ivy Rynearson | Clinical Nurse Specialist | 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 | 2020-03-03 |
| 1568019354 | Deaconess Hospital, Inc | Clinical Nurse Specialist | 4111 Gateway Blvd, Newburgh, IN 47630-8954 | 2019-08-26 |
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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.