MIDWEST MEDICAL GROUP, LLC


Address: 611 E Douglas Rd, Suite 208, Mishawaka, IN 46545-1464
Phone: 5742325928

MIDWEST MEDICAL GROUP, LLC (NPI# 1194734483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194734483
Entity Type Organization
Organization Name MIDWEST MEDICAL GROUP, LLC
Other Organization Name MIDWEST CARDIOVASCULAR SPECIALISTS
Practice Address 611 E Douglas Rd
Suite 208
Mishawaka
IN 46545-1464
Practice Telephone 5742325928
Practice Fax Number 5742324888
Mailing Telephone 5742325928
Mailing Fax Number 5742324888
Enumeration Date 2006-08-05
Last Update Date 2010-12-10
Authorized Official Name WILLIAM S. SARNAT (PRESIDENT)
Authorized Official Telephone 5742325928
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100223320A 05

Other Provider/Organization Names

Other Name Type Code
Midwest Cardiovascular Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861701575 Midwest Medical Group, LLC Internal Medicine 11227 Lakeview Ave, Lenexa, KS 66219-1399 2010-09-29

Office Location

Street Address 611 E DOUGLAS RD
SUITE 208
City MISHAWAKA
State IN
Zip Code 46545-1464

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770587321 Sachin R. Patel Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-10
1568923845 Joseph Knight Student in an Organized Health Care Education/Training Program 611 E Douglas Rd, Mishawaka, IN 46545-1464 2019-03-28
1740721240 Lindsay Snyder Pharmacist 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 2017-03-16
1518408137 Lyndsay Gable Nurse Practitioner 611 E Douglas Rd, Suite 308, Mishawaka, IN 46545-1464 2017-03-15
1942684873 Michael James Kulju Student in an Organized Health Care Education/Training Program 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 2015-07-09
1427456912 Hanna Raber Pharmacist 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 2014-12-15
1033529938 Melissa Gillette Genetic Counselor, MS 611 E Douglas Rd, Ste. 408, Mishawaka, IN 46545-1468 2014-04-30
1720400328 Kierstan Hanson Pharmacist 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 2014-01-16
1396183158 Broderick C Howard Family Medicine 611 E Douglas Rd, Ste 137, Mishawaka, IN 46545-1464 2013-06-13
1174864524 Jennifer Brittny Werner Physical Therapist 611 E Douglas Rd, 403, Mishawaka, IN 46545-1464 2013-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770587321 Sachin R. Patel Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-10
1497750871 Ashfaq A Turk Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-14
1346244746 William S. Sarnat Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-13
1225032626 Ajazuddin Z. Shaikh Internal Medicine 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 2005-06-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1689228587 Milton Lethan Pressler Internal Medicine 1243 Skytag Dr, Carmel, IN 46032-6301 2019-07-29
1790231926 Perry County Cardiology LLC Internal Medicine 8735 State Road 37, Suite B, Tell City, IN 47586-8349 2016-08-28
1164887329 Heart and Vascular Center, LLC Internal Medicine 604 Cambridge Ct, 1b, Munster, IN 46321-2458 2015-12-15
1487061131 Beacon Medical Group, Inc. Internal Medicine 2400 N Ventura Way, Lagrange, IN 46761-4101 2014-07-15
1174939003 Hassan Majed Mostafa Internal Medicine 13100 E 136th St Ste 3000, Fishers, IN 46037-9817 2014-07-11
1619306222 Cardiology Associates of Nw Indiana, PC Internal Medicine 10010 Don Powers Dr, Munster, IN 46321-4054 2013-11-04
1487996450 Richard Bruce Wenzler Internal Medicine 875 Sugarbush Rdg, Zionsville, IN 46077-1911 2013-03-18
1164774816 Jeffrey Scott Riesmeyer Internal Medicine 10582 Brooks School Rd, Fishers, IN 46037-9720 2012-10-04
1124381751 Robert W Godley II Internal Medicine Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 2012-06-19
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Competitor

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City MISHAWAKA
Zip Code 46545

Improve Information

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Dataset Information

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.

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