MARYBETH F MCCLURE DO (NPI# 1245372739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245372739 |
| Entity Type | Organization |
| Organization Name | MARYBETH F MCCLURE DO |
| Practice Address |
1411 Lincoln Way W Mishawaka IN 46544-1626 |
| Practice Telephone | 5742595666 |
| Mailing Telephone | 5742595666 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARYBETH F MCCLURE (PRESIDENT) |
| Authorized Official Telephone | 5742595666 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 02001001A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1411 LINCOLN WAY W |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802681 | Marybeth Francis Mcclure | Pediatrics | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2006-04-25 |
| 1770794364 | Sheila Clare Holody | Social Worker | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2007-05-24 |
| 1659302461 | The Children's Campus, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802681 | Marybeth Francis Mcclure | Pediatrics | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2006-04-25 |
| 1184937245 | Muhammad Shahzad Mumtaz Ansari | Pediatrics | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2010-07-19 |
| 1467543769 | Omobola Adeola Olaniyan | Pediatrics | 420 W 4th St, Mishawaka, IN 46544-1948 | 2006-09-28 |
| 1427097682 | Mary Evelyn Graber | Pediatrics | 611 E Douglas, Suite 309, Mishawaka, IN 46545-1467 | 2006-06-05 |
| 1386683522 | Maryjo Meier | Pediatrics | 611 E Douglas, Suite 309, Mishawaka, IN 46545-1467 | 2006-06-05 |
| 1669411807 | Michael Jagger | Pediatrics | 611 E Douglas, Suite 309, Mishawaka, IN 46545-1467 | 2006-06-05 |
| 1699743849 | Camille M Kureth | Pediatrics | 611 E Douglas Rd, Mishawaka, IN 46545-1464 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404165 | Long Term Care and Rehab Consultants LLC | Pediatrics | 4919 Charlestown Rd, New Albany, IN 47150-9426 | 2020-07-22 |
| 1295358265 | Culver Pediatrics Center, Inc | Pediatrics | 16427 18th Rd, Culver, IN 46511-9754 | 2020-05-25 |
| 1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1518316264 | Christine Marie Timmer Firlit | Pediatrics | 1946 45th St Ste C, Munster, IN 46321-3986 | 2016-06-03 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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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.