ISAAC N MITRE (NPI# 1093894057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093894057 |
| Entity Type | Individual |
| Full Name | ISAAC N MITRE |
| Credential | MD |
| Practice Address |
1623 N 4th Street Terre Haute IN 47804 |
| Practice Telephone | 8122381652 |
| Practice Fax Number | 8122382648 |
| Mailing Telephone | 8122381652 |
| Mailing Fax Number | 8122382648 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01022272A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC BS | 000000082864 | 01 | |
| IN | 100250040A | 05 |
| Street Address |
1623 N 4TH STREET |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1386640886 | Major Hospital | Skilled Nursing Facility | 3150 N. 7th St, Terre Haute, IN 47804 | 2005-06-21 |
| Find all providers in zip 47804 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659316495 | Terre Haute Obstetrics & Gynecology, LLC | Obstetrics & Gynecology | 525 S 4th St, Terre Haute, IN 47807-4303 | 2006-06-17 |
| 1558335893 | Vannara Sakbun | Obstetrics & Gynecology | 611 E Springhill Dr, Terre Haute, IN 47802-4448 | 2006-02-14 |
| 1457353781 | Magdy Waguih Abdel Nour | Obstetrics & Gynecology | 1530 N 7th St, Ste 109, Terre Haute, IN 47807-1057 | 2005-05-31 |
| 1780911875 | Center of Excellence for Women's Healthcare LLC | Obstetrics & Gynecology | 3903 S 7th St Ste 2c, Terre Haute, IN 47802-5710 | 2009-11-10 |
| 1184864399 | Fatima Hina | Obstetrics & Gynecology | 3903 S 7th St Ste 2c, Terre Haute, IN 47802-5710 | 2009-02-27 |
| 1700052982 | Vannara Sakbun Women's Center | Obstetrics & Gynecology | 611 E Springhill Dr, Terre Haute, IN 47802-4448 | 2008-05-07 |
| 1669643086 | Margaret Anne Isaacs | Obstetrics & Gynecology | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2008-03-13 |
| 1457578031 | Rizwan Malik | Obstetrics & Gynecology | 1530 N 7th St, Suite 101, Terre Haute, IN 47807-1057 | 2007-04-18 |
| 1073738639 | First Choice Medical Inc | Obstetrics & Gynecology | 1530 N 7th St, Suite 101, Terre Haute, IN 47807-1057 | 2007-04-17 |
| 1982786562 | Rajalakshmi V Shantharam | Obstetrics & Gynecology | 1530 N 7th St, Terre Haute, IN 47807-1057 | 2006-10-20 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.