DR. PAUL JOSEPH GUENTERT (NPI# 1255316782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316782 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOSEPH GUENTERT |
| Credential | M.D. |
| Practice Address |
611 E Douglas Rd Mishawaka IN 46545-1464 |
| Mailing Address |
621 Memorial Drive Suite 512 South Bend IN 46601-1074 |
| Practice Telephone | 5742469350 |
| Practice Fax Number | 5742469370 |
| Mailing Telephone | 5742469350 |
| Mailing Fax Number | 5742469370 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01043875 | IN | Other Service Providers |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01043875 | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01043875 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS BLUE SHIELD | 000000321944 | 01 |
| IN | 200049480 | 05 |
| Street Address |
611 E DOUGLAS RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1464 |
| 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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| 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 Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
| 1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
| 1134464209 | Sneeze & Snooze Clinic, P C. | Internal Medicine | 2417 S. Berkshire Dr., Gashen, IN 46526-6815 | 2012-11-30 |
| 1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
| 1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
| 1497923486 | Medical Clinics of America | Internal Medicine | 1402 173rd St, Hammond, IN 46324-2861 | 2008-02-13 |
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
| 1972675189 | Chest & Sleep Consultants | Internal Medicine | 952 S State Road 2, Valparaiso, IN 46385-6322 | 2006-11-14 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
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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.