RYAN NIEHAUS (NPI# 1235396045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235396045 |
| Entity Type | Individual |
| Full Name | RYAN NIEHAUS |
| Credential | D.O. |
| Practice Address |
995 S Clarizz Blvd Bloomington IN 47401-5588 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8123533060 |
| Mailing Telephone | 8123533087 |
| Mailing Fax Number | 8123535859 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
02004042A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201074530 | 05 |
| Street Address |
995 S CLARIZZ BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750327 | Susan K Lee | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2005-06-16 |
| 1073084612 | Daniel Wade Rademacher | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2018-12-07 |
| 1114473717 | Miranda Conard | Pharmacist | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2016-09-01 |
| 1881070324 | Christine Boardman | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2015-08-06 |
| 1548519572 | Indiana University Health Southern Indiana Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-09-06 |
| 1144576232 | Rebekah Moore | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-07-26 |
| 1003137126 | Mahesh Kumar Sreedasyam | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2010-06-14 |
| 1154507978 | Sarah Suzanne Hartung | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-01-10 |
| 1487836409 | Raluca Ioana Vucescu | Internal Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2007-11-30 |
| 1144439506 | Ursula Penrose | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649598707 | Rajih Y Haddawi | Family Medicine | 2631 S Atlee St, Bloomington, IN 47401-4536 | 2010-05-12 |
| 1144617366 | Mckayla Schmitt | Family Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-04-26 |
| 1336538917 | The Trustees of Indiana University | Family Medicine | 1001 E 17th St, Assembly Hall, Bloomington, IN 47408-1590 | 2015-01-20 |
| 1659684462 | Premier Healthcare, LLC | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2010-07-21 |
| 1184855272 | Ima East Primary Care | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2009-08-06 |
| 1285890764 | Heather J Dukes Rosales | Family Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2008-08-04 |
| 1922017623 | Shane Michael Gustafson | Family Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-08-05 |
| 1649237504 | Wendell W Becton | Family Medicine | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061135 | Central Indiana Orthopedics, PC | Family Medicine | 14300 E 138th Bldg B, Fishers, IN 46037-0087 | 2019-06-11 |
| 1104326909 | Orthopaedic Associates, Inc. | Family Medicine | 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 | 2018-02-19 |
| 1700231313 | Heather Saffel | Family Medicine | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2016-05-02 |
| 1922477686 | Orthopaedic Associates, Inc. | Family Medicine | 5828 Pearl Dr, Evansville, IN 47712-8116 | 2015-09-23 |
| 1295137925 | Ball State University | Family Medicine | Hp 260, Muncie, IN 47306-0001 | 2014-09-25 |
| 1992118822 | Zachary Conner Ritchie | Family Medicine | 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 | 2014-06-09 |
| 1740692078 | Joel Jaeger | Family Medicine | 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 | 2014-05-21 |
| 1457652992 | Martha Ann Taylor | Family Medicine | 105 Hendron Hills Dr, Vincennes, IN 47591-3638 | 2010-11-16 |
| 1538300561 | Michael Robert Messmer | Family Medicine | 3221 Beacon Parkway, Granger, IN 46530 | 2009-03-21 |
| 1558551382 | Jerry Edward Blythe | Family Medicine | 8045 Broadway St, Indianapolis, IN 46240-2502 | 2007-07-27 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.