DR. HEATHER KISTKA (NPI# 1144464850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144464850 |
| Entity Type | Individual |
| Full Name | DR. HEATHER KISTKA |
| Other Name | DR. HEATHER KIEFER |
| Credential | M.D. |
| Practice Address |
500 Arcade Ave Suite 200 Elkhart IN 46514-2477 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742948404 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 01076916A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000001024807 | 01 |
| IN | MEDICARE PTAN | 327270005 | 01 |
| IN | MEDICARE PTAN | 236040221 | 01 |
| IN | 201365900 | 05 |
| Street Address |
500 ARCADE AVE SUITE 200 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042102 | Gurudutt B. Kulkarni | Internal Medicine | 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 | 2005-06-09 |
| 1215243704 | Jill J Newcomer | Nurse Practitioner | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2010-08-23 |
| 1679717771 | Troy A Weirick | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2009-04-21 |
| 1235384744 | Craig E. Meyer, M.d., F.a.c.s. | Clinic/Center | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-11-25 |
| 1447406426 | Thomas P. Moretti | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2008-08-11 |
| 1073771820 | Joseph B. Schnittker, Md, PC | Neurological Surgery | 500 Arcade Ave, Suite 110, Elkhart, IN 46514-2477 | 2008-05-29 |
| 1528245040 | Edwin Laryea Annan | Internal Medicine | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-01-28 |
| 1649450164 | Keely N Anthony | Occupational Therapy Assistant | 500 Arcade Ave, Suite 300, Elkhart, IN 46514-2477 | 2007-11-13 |
| 1801921325 | Vijay A. Mehta | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2007-02-23 |
| 1942349345 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 500 Arcade Ave, Suite 240, Elkhart, IN 46514-2477 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516496 | Peter M. Carney | Neurological Surgery | 244 Waterfall Dr, Elkhart, IN 46516-3668 | 2005-08-23 |
| 1073771820 | Joseph B. Schnittker, Md, PC | Neurological Surgery | 500 Arcade Ave, Suite 110, Elkhart, IN 46514-2477 | 2008-05-29 |
| 1629073853 | Joseph B. Schnittker | Neurological Surgery | 500 Arcade Ave, Suite 110, Elkhart, IN 46514-2477 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146076 | T.s.shanks, Pllc | Neurological Surgery | 1919 State St Ste 250, New Albany, IN 47150-6805 | 2019-04-04 |
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1326465725 | Hayder Jaffer | Neurological Surgery | 200 E 89th Ave Ste 3a, Merrillville, IN 46410-7319 | 2014-03-24 |
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1659646917 | Shaheryar Faruq Ansari | Neurological Surgery | 8040 Clearvista Pkwy Ste 240, Indianapolis, IN 46256-4673 | 2012-03-19 |
| 1629367354 | Katrina Alise Ducis | Neurological Surgery | 705 Riley Hospital Dr Rm 1134, Indianapolis, IN 46202 | 2011-04-04 |
| 1639490857 | Karl Erach Balsara | Neurological Surgery | 705 Riley Hospital Dr # 1134, Indianapolis, IN 46202 | 2010-06-22 |
| 1265759955 | Chih-ta Lin | Neurological Surgery | 2525 W University Ave Ste 503, Muncie, IN 47303-3409 | 2010-04-21 |
| 1093030322 | Gregory J Loomis | Neurological Surgery | 1024 Dress Ln, Evansville, IN 47725-9596 | 2010-03-30 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
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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.