MS. PETRONELLA AGNES ADOMAKO


Address: 1400 S. Lake Park Avenue, Ste. 305, Hobart, IN 46342
Phone: 2199451523

MS. PETRONELLA AGNES ADOMAKO (NPI# 1225131287) 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) 1225131287
Entity Type Individual
Full Name MS. PETRONELLA AGNES ADOMAKO
Credential MD
Practice Address 1400 S. Lake Park Avenue
Ste. 305
Hobart
IN 46342
Mailing Address 757 45th Avenue
Ste. 201
Munster
IN 46321
Practice Telephone 2199451523
Practice Fax Number 2199451284
Mailing Telephone 2199342461
Mailing Fax Number 2199342478
Enumeration Date 2006-09-06
Last Update Date 2010-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
01059890A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200520520 05

Office Location

Street Address 1400 S. LAKE PARK AVENUE
STE. 305
City HOBART
State IN
Zip Code 46342

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952734295 Carleen Kaucky Nurse Practitioner 1445 South Lake Park Ave, Hobart, IN 46342 2013-08-09
1679827133 Fresenius Medical Care Nw Indiana, LLC Clinic/Center 1330 W. Wisconsin St., Hobart, IN 46342 2012-11-06
1356600548 Accurate Home Health Inc Home Health 8792 E. Ridge Road, Suite A, Hobart, IN 46342 2012-05-09
1164728051 Lynn Rentz Mechanotherapist 103 E.third St., Suite 1, Hobart, IN 46342 2011-02-10
1720214208 Felipe Isip Chua Jr. Physician Assistant 101 West 61st Avenue, Hobart, IN 46342 2009-06-10
1326289067 Sheila Anne Flynn Registered Nurse 101 W. 61st Ave., Hobart, IN 46342 2009-03-10
1194941021 Arc Bridges, Inc Custodial Care Facility 3583 Randolph Drive, Hobart, IN 46342 2007-04-18
1164542940 Felix Rosel Gozo Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 2007-03-29
1003932666 Major Hospital Skilled Nursing Facility 4410 W 49th Ave, Hobart, IN 46342 2007-03-22
1295884682 Marie Jean Mercado Hedges Physical Therapist 4530 16th St., Hobart, IN 46342 2007-01-09
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932436177 Mohammad Yousef Alkhatib Internal Medicine 1400 S Lake Park Ave Ste 304, Hobart, IN 46342-6791 2009-11-09
1033227756 Rodolfo L Jao Md Inc Internal Medicine 1400 S Lake Park Ave, Suite 300, Hobart, IN 46342-6636 2006-08-25
1093772378 Denise C Weaver Internal Medicine 1400 S Lake Park Ave, Ste 305, Hobart, IN 46342 2006-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902462880 Dylan Slotar Md PC Internal Medicine 9124 Columbia Ave # B, Munster, IN 46321-2907 2019-05-15
1003163395 Timothy Raymond Franson Internal Medicine 11610 Weeping Willow Ct, Zionsville, IN 46077-7838 2012-08-06
1720380959 Sicc Services LLC Internal Medicine 350 W Columbia St # At, Suite 440, Evansville, IN 47710-1782 2010-11-19
1134438492 David Lee Hyslop Internal Medicine 6013 Yellow Birch Ct, Avon, IN 46123-8235 2010-10-04
1992025563 An Na Park Internal Medicine 801 Macarthur Blvd Ste 401, Munster, IN 46321-2919 2010-06-07
1508005380 Suk Chul Kim Internal Medicine 1101 Glendale Road, Ste. 110, Valparaiso, IN 46383 2009-02-18
1659535904 Donald Gregory Therasse Internal Medicine 9135 Timberwolf Ln, Zionsville, IN 46077-8320 2008-07-16
1760650386 George Matthew Vail Internal Medicine 1050 Reid Pkwy Ste 205, Richmond, IN 47374-1159 2008-02-16
1598955957 Sheila Mothkur, M.d. Internal Medicine 1501 Wabash St Rm 101, Michigan City, IN 46360-4364 2007-07-31
1689896862 Evansville Cancer Care PC Internal Medicine 724 N Burkhardt Rd, Evansville, IN 47715-2740 2007-05-03
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City HOBART
Zip Code 46342

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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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