DR. EBENEZER A KIO (NPI# 1164509535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509535 |
| Entity Type | Individual |
| Full Name | DR. EBENEZER A KIO |
| Credential | MD |
| Practice Address |
200 High Park Ave Goshen IN 46526-4810 |
| Practice Telephone | 5743642888 |
| Practice Fax Number | 5743642480 |
| Mailing Telephone | 5743642888 |
| Mailing Fax Number | 5743642480 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01066705B | IN | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01066705A | IN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35085264 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64102429 | 05 | |
| OH | 2608664 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 High Park Ave, Indiana University Health Goshen Center for Cancer Care, Goshen, IN 465264810 | 5743642888 | 5743642480 |
| Street Address |
200 HIGH PARK AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339537 | Helen Winer-muram | Radiology | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-12 |
| 1295336642 | Marlise Ann Webber | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2020-11-03 |
| 1952940538 | Adrianne Osano | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-31 |
| 1427695642 | Neltje Ribbens | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-12-06 |
| 1144885013 | Devon Lee Perkins | Physician Assistant | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-05-07 |
| 1699232553 | Maya Bar-zvi | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2019-02-27 |
| 1689164477 | Grace Catherine Darnell | Registered Nurse | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-05-16 |
| 1750881991 | Bethany Swope | Marriage & Family Therapist | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-02-14 |
| 1881102168 | Leon Carroll Coody Jr. | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2018-01-20 |
| 1386169530 | Ashley Outman | Dietitian, Registered | 200 High Park Ave, Goshen, IN 46526-4810 | 2017-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297173 | Mark Alan Tuckfelt | Internal Medicine | 4 Harriman Dr, Goshen, NY 10924-2410 | 2005-07-01 |
| 1689620973 | Goshen Medical Associates PC | Internal Medicine | 70 Hatfield Ln, Suite 101, Goshen, NY 10924-6734 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
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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.