DR. JACK S. BARTOSZEK (NPI# 1093714818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093714818 |
| Entity Type | Individual |
| Full Name | DR. JACK S. BARTOSZEK |
| Credential | D.O. |
| Practice Address |
615 Fulmer Rd Mishawaka IN 46544-6911 |
| Mailing Address |
4455 Edison Lakes Pkwy Unity Medical Surgical Hospital Mishawaka IN 46545-1442 |
| Practice Telephone | 5742523085 |
| Practice Fax Number | 5742525906 |
| Mailing Telephone | 5742523085 |
| Mailing Fax Number | 5742525906 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
02001105 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | OA41009 | 01 |
| IN | 100335800A | 05 | |
| IN | ANTHEM NUMBER | 000000109340 | 01 |
| Street Address |
615 FULMER RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669764965 | Katherine Revah Guy | Counselor | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2011-05-05 |
| 1639480643 | Michiana Primary Care LLC | Family Medicine | 615 Fulmer Rd, Mishawaka, IN 46544 | 2010-06-24 |
| 1679733208 | Linda S Holcomb | Nurse Practitioner | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2008-06-17 |
| 1124215058 | Michele M Smith | Nurse Practitioner | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2007-09-25 |
| 1467679191 | Robert B Mcclure Do | Family Medicine | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2007-04-20 |
| 1487682167 | V Durga Madhusudana Murthy Rao | Orthopaedic Surgery | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2006-06-29 |
| 1861479941 | Jeffrey S Borders | Surgery | 615 Fulmer Rd, Mishawaka, IN 46544-6911 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689675654 | Arnold Del Pilar Jr. | Family Medicine | 270 E Day Rd Ste 280, Mishawaka, IN 46545-3452 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
| 1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
| 1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
| 1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
| 1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
| 1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
| 1336377670 | Nikki L O'rourke | Family Medicine | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2009-06-25 |
| 1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
| 1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
| 1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACK S. BARTOSZEK.
| 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.