ALFRED J KOBAK (NPI# 1083763635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083763635 |
Entity Type | Individual |
Full Name | ALFRED J KOBAK |
Credential | MD |
Practice Address |
1101 Glendale Blvd Suite 108 Valparaiso IN 46383-3767 |
Practice Telephone | 2195317500 |
Practice Fax Number | 2194648823 |
Mailing Telephone | 2195317500 |
Mailing Fax Number | 2194648823 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2009-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
01020706A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM BCBS | 000000517692 | 01 |
IN | 200864600A | 05 | |
IN | 100318710A | 05 |
Street Address |
1101 GLENDALE BLVD SUITE 108 |
City | VALPARAISO |
State | IN |
Zip Code | 46383-3767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417957457 | Subba Rao Nagubadi | Urology | 1101 Glendale Blvd, Ste 111, Valparaiso, IN 46383-3767 | 2005-07-29 |
1720350846 | Marika Elaine Zandstra | Physical Therapist | 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 | 2012-02-06 |
1689990871 | Ambulatory Anesthesia of Northwest Indiana, LLC | Anesthesiology | 1101 Glendale Blvd, Suite 102, Valparaiso, IN 46383-3767 | 2010-04-13 |
1972829315 | Centers for Pain Management LLC | Pain Medicine | 1101 Glendale Blvd, Valparaiso, IN 46383-3767 | 2010-04-09 |
1417284878 | Kristina Lauren Scalzitti | Nurse Practitioner | 1101 Glendale Blvd, Ste. 110, Valparaiso, IN 46383-3767 | 2009-11-05 |
1831332766 | Norma Ivone Ramey | Internal Medicine | 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 | 2009-04-07 |
1457513285 | Dynamic Rehabilitation Services PC | Physical Therapist | 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 | 2008-07-02 |
1528230133 | Elizabeth Kristine Campbell | Pediatrics | 1101 Glendale Blvd, Ste. 101, Valparaiso, IN 46383-3767 | 2008-03-24 |
1639356025 | James Praveen Anthony | Internal Medicine | 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 | 2008-01-28 |
1871713578 | The Kobak Center for Women's Health,inc. | Specialist | 1101 Glendale Blvd, Suite 108, Valparaiso, IN 46383-3767 | 2007-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
Find all providers in zip 46383 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558654442 | Kobak Center for Gynecology, Inc. | Obstetrics & Gynecology | 401 Wall St, Suite J, Valparaiso, IN 46383-2521 | 2011-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225649486 | Precise Telehealth Inc | Obstetrics & Gynecology | 1001 Calumet Avenue, Dyer, IN 46311-1596 | 2020-08-12 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
1528369428 | Center for Optimal Health | Obstetrics & Gynecology | 415 W First Street, Bloomington, IN 47403 | 2010-11-09 |
1578894697 | Joseph Robert Gasparovic | Obstetrics & Gynecology | 219 Carnoustie Ct, Schererville, IN 46375-2919 | 2010-01-29 |
1396936365 | Diana M Okon, M.d. PC | Obstetrics & Gynecology | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2007-08-06 |
1841417110 | Jennifer Joy Hamner | Obstetrics & Gynecology | 234 E 9th St Apt 106, Indianapolis, IN 46204-1163 | 2007-04-19 |
1619006772 | Marvin Eugene Eastlund | Obstetrics & Gynecology | 5204 Tatum Ct, Fort Wayne, IN 46835-4633 | 2007-03-05 |
1477693307 | Paul Eugene Jarrett Jr. | Obstetrics & Gynecology | 9906 E 200 S, Zionsville, IN 46077-9702 | 2007-02-08 |
1225182272 | Connersville Obgyn Inc | Obstetrics & Gynecology | 1619 N Grand Ave, Connersville, IN 47331-2230 | 2007-01-23 |
Find all providers with the same taxonomy |
City | VALPARAISO |
Zip Code | 46383 |
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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.