DR. ROBERT E. MCMAHON (NPI# 1174617633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174617633 |
Entity Type | Individual |
Full Name | DR. ROBERT E. MCMAHON |
Credential | DDS |
Practice Address |
502 Wall Street Valparaiso IN 46383-2564 |
Mailing Address |
8691 Connecticut Street Merrillville IN 46410-6287 |
Practice Telephone | 2194625117 |
Practice Fax Number | 2194647351 |
Mailing Telephone | 2197575700 |
Mailing Fax Number | 2197575706 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12007695 | IN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043309792 | Robert M Mcmahon | Internal Medicine | 1610 Des Peres Rd Ste 150, Saint Louis, MO 63131-1863 | 2006-10-12 |
1003428434 | Robert Paul Mcmahon | Pharmacist | 24416 N 19th Ave, Phoenix, AZ 85085-1887 | 2020-08-18 |
1992189278 | Robert Mcmahon | Occupational Therapist | 1425 Pompton Ave, Suite 1-3, Cedar Grove, NJ 07009-1043 | 2015-07-16 |
1972843142 | Robert Charles Mcmahon | Psychologist | 300 Prison Rd, Folsom State Prison, Represa, CA 95671-3001 | 2013-02-25 |
1801166764 | Robert Michael Mcmahon | Pharmacist | 1109 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4704 | 2012-01-10 |
1598711400 | Robert C Mcmahon | Optometrist | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-25 |
1093775801 | Robert W. Mcmahon | Psychiatry & Neurology | 1221 Lee St, Charlottesville, VA 22908-0001 | 2006-03-24 |
1750362422 | Robert T Mcmahon | Ophthalmology | 4406 N Laurent, Victoria, TX 77901-2791 | 2005-11-09 |
Street Address |
502 WALL STREET |
City | VALPARAISO |
State | IN |
Zip Code | 46383-2564 |
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 | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720220015 | Stevenson - Fairchild, Oms, P.C. | Dentist | 911 Wall St., Suite C, Valparaiso, IN 46383-2553 | 2009-04-01 |
1609970979 | Matthew William Hearn | Dentist | 2005 Roosevelt Rd, Suite B, Valparaiso, IN 46383-2746 | 2006-09-08 |
1932210010 | Block & Stevenson Oms PC | Dentist | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 | 2006-08-31 |
1548351661 | Howard Eric Stevenson | Dentist | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063918746 | Robinpreet Singh Pannu | Dentist | 550 University Blvd Ste 3195, Indianapolis, IN 46202-5149 | 2018-04-02 |
1912435843 | Advanced Family Dentistry | Dentist | 9845 E 116th St Ste 400, Fishers, IN 46037-9236 | 2017-05-23 |
1093250151 | Ruckman Oral Surgery and Implant Center LLC | Dentist | 9901 Auburn Rd, Fort Wayne, IN 46825-2345 | 2016-12-28 |
1992159552 | Kokomo Implant and Oral Surgery, LLC | Dentist | 2008 West Sycamore Street, Kokomo, IN 46901-4112 | 2016-04-20 |
1659752335 | Yusif Umar | Dentist | 550 University Blvd # Uh3145, Indianapolis, IN 46202-5149 | 2015-06-17 |
1154710267 | Lawrence G. Falender Dds PC | Dentist | 1320 N Post Rd, Indianapolis, IN 46219-4210 | 2015-01-13 |
1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
1144668989 | Timothy William Surber | Dentist | 5701 Brownstone Dr, Indianapolis, IN 46220-5851 | 2013-06-13 |
1396189387 | Intp Dental PC | Dentist | 8555 River Rd Ste 180, Indianapolis, IN 46240-4311 | 2013-04-22 |
1932440054 | John Joseph Schier Jr. | Dentist | 3021 E 98th St Ste 250, Indianapolis, IN 46280-2908 | 2013-03-14 |
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.