GARY B FROMM (NPI# 1184722076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184722076 |
| Entity Type | Individual |
| Full Name | GARY B FROMM |
| Credential | MD |
| Practice Address |
615 N Michigan St Medical Education Dept Memorial Hospital South Bend IN 46601 |
| Practice Telephone | 5742434768 |
| Practice Fax Number | 5746473427 |
| Mailing Telephone | 5742434768 |
| Mailing Fax Number | 5746473427 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01024475A | IN | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01024475A | IN | Allopathic & Osteopathic Physicians |
| X | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
01024475A | IN | Ambulatory Health Care Facilities |
| Street Address |
615 N MICHIGAN ST MEDICAL EDUCATION DEPT MEMORIAL HOSPITAL |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1720613268 | Jennifer Lynn Boyd | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-05 |
| 1104451798 | Ryan Lipinski | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-03-04 |
| 1669007241 | Alexandra Rain Ross | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-04 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1487132114 | South Bend Emergency Physicians, Inc | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-08-03 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508048752 | Thomas P Bathrick Do, PC | Internal Medicine | 1432 Lincoln Way E, South Bend, IN 46613-3205 | 2007-11-29 |
| 1093912180 | Charbel F Maskiny | Internal Medicine | 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 | 2007-07-02 |
| 1285646711 | Thomas Palmer Bathrick | Internal Medicine | 1432 Lincoln Way E, South Bend, IN 46613-3205 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649640202 | Bkrd, Inc | Internal Medicine | 302 Garden Trl, Michigan City, IN 46360-2710 | 2015-09-25 |
| 1053744367 | Jagadeesh Yella | Internal Medicine | 1400 N Ritter Ave Ste 375, Indianapolis, IN 46219-3049 | 2013-08-11 |
| 1114367067 | Fouad Kutuby | Internal Medicine | 8840 Calumet Ave Ste 206, Munster, IN 46321-2546 | 2013-06-25 |
| 1235481755 | Dedrick K. Bowe | Internal Medicine | 800 Broadway Ste 204, Fort Wayne, IN 46802-2149 | 2012-10-08 |
| 1871856351 | Muhammad J Habib | Internal Medicine | 355 Westfield Rd Ste 114, Noblesville, IN 46060-1442 | 2012-06-20 |
| 1629356332 | Sangeeth Rao Dubbireddi | Internal Medicine | 1801 N Senate Ave Ste 2000, Indianapolis, IN 46202 | 2011-07-29 |
| 1972894087 | Amanpreet Kaur | Internal Medicine | 3500 N Franciscan Way, Ste 400, Michigan City, IN 46360-0021 | 2011-04-22 |
| 1164735692 | Edgardo Manuel Flores Anticona | Internal Medicine | 2101 Jackson St Ste 110, Anderson, IN 46016-4386 | 2010-07-26 |
| 1598986713 | Eugene C Fletcher Md LLC | Internal Medicine | 428 Vincennes St, New Albany, IN 47150-3054 | 2007-05-02 |
| 1912032434 | Brian Allen Youn | Internal Medicine | 821 S Scott Rd, Fort Wayne, IN 46814-9398 | 2007-02-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on GARY B FROMM.
| 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.