MR. DANIEL J BEDECKI (NPI# 1063462414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063462414 |
| Entity Type | Individual |
| Full Name | MR. DANIEL J BEDECKI |
| Credential | MD |
| Practice Address |
1024 S 6th St Ste 204 Terre Haute IN 47807 |
| Practice Telephone | 8122347128 |
| Practice Fax Number | 8122310104 |
| Mailing Telephone | 8122347128 |
| Mailing Fax Number | 8122310104 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01032307B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS PIN | 000000085360 | 01 |
| Street Address |
1024 S 6TH ST STE 204 |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841463 | Wendy K Kennedy | Orthopaedic Surgery | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2005-09-15 |
| 1831422195 | Russell Harms Dpm PC | Podiatrist | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2009-09-17 |
| 1194908947 | Affiliated Gastroenterology, PC | Specialist | 1024 S 6th St, Suite 105, Terre Haute, IN 47807-5015 | 2007-12-14 |
| 1588737183 | Kennedy Foot Care LLC | Podiatrist | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2006-11-15 |
| 1861476434 | C Michael Acton Md Inc | Specialist | 1024 S 6th St, Suite 205, Terre Haute, IN 47807-5015 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150175 | Acceleraed Rehabilitation Centers Ltd | Physical Therapist | 516 Wabash Ave, Terre Haute, IN 47807 | 2019-08-22 |
| 1548753403 | Terre Haute Aal Lp | Assisted Living Facility | 650 Lafayette Avenue, Terre Haute, IN 47807 | 2018-06-14 |
| 1790286300 | Hamilton Center, Inc. | Clinic/Center | 88 Court Wabash Court, Terre Haute, IN 47807 | 2018-02-28 |
| 1073022703 | Charles Martinez | Case Manager/Care Coordinator | 1619 5th Ave, Terre Haute, IN 47807 | 2017-09-26 |
| 1326578931 | Ian Nicholas Bostock | Specialist/Technologist | 1113 North 8th Street, Terre Haute, IN 47807 | 2017-06-15 |
| 1619309804 | Kimberly R Rollings | Audiologist | 1429 North Sixth Street, Terre Haute, IN 47807 | 2013-07-30 |
| 1376827550 | Lazaro Vu | Pharmacist | 1300 Wabash Avenue, Terre Haute, IN 47807 | 2011-10-05 |
| 1609016211 | Midwest Neurosurgery, P.C. | Specialist | 1530 N. 7th Street, Suite 106, Terre Haute, IN 47807 | 2009-02-23 |
| 1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
| 1316958549 | Wabash Valley Urological Assoc Inc | Specialist | 1235 Ohio Street, Terre Haute, IN 47807 | 2006-08-11 |
| Find all providers in zip 47807 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1255427407 | Mark Allison Haring | General Practice | 1626 S State Road 46, Terre Haute, IN 47803 | 2006-10-05 |
| 1558351791 | Prakash Karki | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-27 |
| 1215078100 | Michael Charles Stoner | General Practice | 3387 S Us Highway 41, Terre Haute, IN 47802-3727 | 2007-02-12 |
| 1134110166 | Ajit Singh | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-31 |
| 1306836549 | Alexander Ton | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-27 |
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| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 1245742808 | Field & Forest Medical, LLC | General Practice | 18565 S Bandy Ln, Clinton, IN 47842-7334 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47807 |
Please comment or provide details below to improve the information on MR. DANIEL J BEDECKI.
| 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.