TERRE HAUTE MEDICAL CORPORATION, PC (NPI# 1194853804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194853804 |
| Entity Type | Organization |
| Organization Name | TERRE HAUTE MEDICAL CORPORATION, PC |
| Practice Address |
4757 S 7th St Terre Haute IN 47802-4559 |
| Practice Telephone | 8122342289 |
| Practice Fax Number | 8122324234 |
| Mailing Telephone | 8122342289 |
| Mailing Fax Number | 8122324234 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALEXANDER TON (OWNER) |
| Authorized Official Telephone | 8122342289 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 01055194 | IN | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 01039701A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
4757 S 7TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351791 | Prakash Karki | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-27 |
| 1639730013 | Angela M Shaw | Nurse Practitioner | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2019-06-26 |
| 1023458130 | David Moore Hamrick | Nurse Practitioner | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2013-07-03 |
| 1801962105 | Amy Lynn Joy | Nurse Practitioner | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2006-11-28 |
| 1396736039 | Bing Wang Gale | Family Medicine | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-11-02 |
| 1134110166 | Ajit Singh | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-31 |
| 1306836549 | Alexander Ton | General Practice | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-27 |
| 1730179953 | Fauzia Mosarrat Ahmed | Internal Medicine | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1457646135 | Girish Chandra Kunapareddy | Internal Medicine | 1711 N 6th 1/2 St Ste 202, Terre Haute, IN 47804-2766 | 2011-06-10 |
| 1174612931 | Vuppala Venkat Reddy | Internal Medicine | 1332 N 7th St, Terre Haute, IN 47807-1004 | 2006-10-12 |
| 1306958285 | Arvindkumar N Jameria | Internal Medicine | 1606 North 7th Street, Terre Haute, IN 47804-2780 | 2006-08-31 |
| 1811003122 | Douglas Burton Gillespie Jr. | Internal Medicine | 2010 Ohio Blvd, Terre Haute, IN 47803-2122 | 2006-08-21 |
| 1245343144 | Tejaswini Kumar | Internal Medicine | 420 E Hospital Ln, Terre Haute, IN 47802-4251 | 2006-08-16 |
| 1215956198 | Nedu Gopala | Internal Medicine | 3250 N 19th St, Terre Haute, IN 47804-1444 | 2006-07-19 |
| 1487618179 | Michael R Rader | Internal Medicine | 100 Pfizer Dr, Terre Haute, IN 47802-8019 | 2006-04-12 |
| 1629058680 | Ajay D Deshpande | Internal Medicine | 4320 S 7th St, Terre Haute, IN 47802-4301 | 2006-01-18 |
| 1184622078 | Subbareddy Puchalapalli | Internal Medicine | 2250 Wabash Ave, Terre Haute, IN 47807-3317 | 2005-07-13 |
| 1962409466 | Jon Lee Stockrahm | Internal Medicine | 2800 Poplar Street, Ste 19 A, Terre Haute, IN 47803-2659 | 2005-06-30 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.