JOHN THOMAS MINTURN (NPI# 1073513628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073513628 |
| Entity Type | Individual |
| Full Name | JOHN THOMAS MINTURN |
| Credential | M.D. |
| Practice Address |
10300 N Illinois St Suite #1030 Indianapolis IN 46290-1166 |
| Practice Telephone | 3178171586 |
| Practice Fax Number | 3178171399 |
| Mailing Telephone | 3178171586 |
| Mailing Fax Number | 3178171399 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 01035051A | IN | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
01035051A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100226850B | 05 |
| Street Address |
10300 N ILLINOIS ST SUITE #1030 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147230 | Richard Burgett | Ophthalmology | 10300 N Illinois St, Suite 2020, Indianapolis, IN 46290-1166 | 2005-07-13 |
| 1316398514 | Circle City Neuro-ophthalmology, LLC | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2016-06-29 |
| 1477903789 | Lai Vision and Surgery, LLC | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2016-06-16 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1639455066 | Midwest Cornea Associates, LLC | Ophthalmology | 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 | 2011-10-31 |
| 1164659751 | Kevin Enpei Lai | Ophthalmology | 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 | 2009-06-22 |
| 1467699090 | Raj K. Maturi Md PC | Ophthalmology | 10300 N Illinois St, Suite 1060, Indianapolis, IN 46290-1166 | 2009-01-20 |
| 1194758672 | Midwest Glaucoma Associates | Ophthalmology | 10300 N Illinois St, Suite 1010, Indianapolis, IN 46290-1164 | 2006-07-08 |
| 1578522850 | Robert D Deitch | Ophthalmology | 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 | 2006-03-23 |
| 1568452340 | Nicholas Frank Hrisomalos | Ophthalmology | 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 | 2005-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585838 | Thomas Anthony Ciulla | Ophthalmology | 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 | 2005-06-02 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1568452340 | Nicholas Frank Hrisomalos | Ophthalmology | 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637075 | Madison Eye Center LLC | Ophthalmology | 601 Broadway St, Madison, IN 47250-3362 | 2018-01-26 |
| 1093999609 | Retina & Vitreous L L C | Ophthalmology | 53822 Generations Drive, South Bend, IN 46635-1543 | 2007-12-19 |
| 1295730299 | Prince D Samuel | Ophthalmology | 4221 Washington Ave, Evansville, IN 47714-0675 | 2005-06-16 |
| 1902800493 | Ramana S Moorthy | Ophthalmology | 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 | 2005-06-13 |
| 1851840599 | Highland Retina Associates, LLC | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | 2016-09-22 |
| 1043579550 | Midwest Eye Consultants, P.C. | Ophthalmology | 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 | 2012-05-04 |
| 1033478540 | Midwest Eye Consultants, P.C. | Ophthalmology | 1601 W Lincoln Rd, Kokomo, IN 46902-3275 | 2012-05-04 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| 1164493011 | Theodore Jere Stransky | Ophthalmology | 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 | 2006-01-30 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
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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.