DEKALB MEMORIAL HOSPITAL INC


Address: 1310 E 7th St, Ste B, Auburn, IN 46706-2534
Phone: 2609202501

DEKALB MEMORIAL HOSPITAL INC (NPI# 1255875712) 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) 1255875712
Entity Type Organization
Organization Name DEKALB MEMORIAL HOSPITAL INC
Other Organization Name DEKALB HEALTH
Practice Address 1310 E 7th St
Ste B
Auburn
IN 46706-2534
Mailing Address Po Box 623
Auburn
IN 46706-0623
Practice Telephone 2609202501
Enumeration Date 2016-12-16
Last Update Date 2016-12-16
Authorized Official Name CRAIG POLKOW (CEO)
Authorized Official Telephone 2609202501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 231H00000X Audiologist 23001905A IN Speech, Language and Hearing Service Providers
Y 207Y00000X Otolaryngology 01039551A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE PTAN 191560 01

Other Provider/Organization Names

Other Name Type Code
Dekalb Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780117200 Dekalb Memorial Hospital Inc Family Medicine 1061 Smaltz Way, Auburn, IN 46706-9599 2017-04-11
1033114418 Dekalb Memorial Hospital Inc Home Health 400 Erie Pass, Auburn, IN 46706-0000 2005-06-14
1497292452 Dekalb Memorial Hospital Inc Family Medicine 400 Erie Pass, Auburn, IN 46706-2523 2017-01-27
1902897937 Dekalb Memorial Hospital Inc Ambulance 1316 E 7th St, Auburn, IN 46706-2523 2005-10-31
1295730919 Dekalb Memorial Hospital Inc Hospice Care, Community Based 400 Erie Pass, Auburn, IN 46706-0000 2005-06-17

Office Location

Street Address 1310 E 7TH ST
STE B
City AUBURN
State IN
Zip Code 46706-2534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023009024 Allied Physicians Inc., D/b/a Fort Wayne Neurology Psychiatry & Neurology 1310 E 7th St, Suite 301, Auburn, IN 46706-2534 2005-10-31
1467843599 Dekalb Memorial Hospital, Inc Family Medicine 1310 E 7th St, Suite C, Auburn, IN 46706-2534 2015-02-11
1073886560 Dekalb Memorial Hospital, Inc Otolaryngology 1310 E 7th St, Suite G, Auburn, IN 46706-2534 2012-02-15
1720312077 Joshua Andy Button Physician Assistant 1310 E 7th St, Suite J, Auburn, IN 46706-2534 2009-09-18
1427203793 Joy Lynne Martin Registered Nurse 1310 E 7th St, Suite G, Auburn, IN 46706-2534 2008-11-29
1265610158 Northeast Indiana Urology PC Durable Medical Equipment & Medical Supplies 1310 E 7th St, Dekalb Medical Arts Bldg, Auburn, IN 46706-2534 2008-02-04
1922287531 Mark S. Souder, M.d. Family Medicine 1310 E 7th St, Ste J, Auburn, IN 46706-2534 2007-10-31
1508063306 Michelle Elaine Hileman Advanced Practice Midwife 1310 E 7th St, Suite M, Auburn, IN 46706-2534 2007-06-27
1316082746 Auburn Obgyn PC Obstetrics & Gynecology 1310 E 7th St, Suite M, Auburn, IN 46706-2518 2007-02-21
1386715241 Dekalb Memorial Hospital Family Medicine 1310 E 7th St, F, Auburn, IN 46706-2534 2006-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942843701 Lara Maria Lahr Advanced Practice Midwife Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 2019-10-24
1982180501 Kersten L. Weigle Nurse Practitioner 1310 E 7th St Ste F, Auburn, IN 46706 2018-07-17
1902267057 Crystal Nicole Kennedy Nurse Practitioner 1306 E 7th St#c, Auburn, IN 46706 2016-03-17
1902264203 Andrew Delagrange Student in an Organized Health Care Education/Training Program 1021 Eckhart Avenue, Auburn, IN 46706 2016-02-02
1164839007 Morgan Ariel Buchs Physical Therapist 353 N. Grandstaff Dr., Auburn, IN 46706 2014-07-11
1407139546 Stacy Marie Smith Registered Nurse 1310 E 7th St., Ste J, Auburn, IN 46706 2011-09-26
1518262807 Kori B Engdahl Advanced Practice Midwife 1310 East 7th Street, Suite M, Auburn, IN 46706 2011-01-18
1588986541 Jack Phillip Covell General Practice 5631 Co Rd 29, Auburn, IN 46706 2010-02-18
1396914271 Midwest Eye Consultants, P.C. Optometrist 750 N. Grandstaff Dr., Auburn, IN 46706 2008-02-26
1700077013 Tyler Elliott Helm Physical Therapist 510 N. Grandstaff Dr., Auburn, IN 46706 2007-08-05
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730522376 Dennis Michael Cavallo Otolaryngology 2812 Stevens Dr, Auburn, CA 95602-8806 2013-04-13
1871540567 Clark A. Elliott Otolaryngology 77 Nelson St Ste 240, Auburn, NY 13021-1944 2006-05-28
1992789440 Allied Physicians Inc., D/b/a Ear, Nose & Throat Specialists Otolaryngology Dekalb Memorial Hospital, East 7th Street, Auburn, IN 46706 2005-11-29
1902232200 Dekalb Health Otolaryngology 1314 E 7th St, Suite 203, Auburn, IN 46706-2535 2013-09-18
1073886560 Dekalb Memorial Hospital, Inc Otolaryngology 1310 E 7th St, Suite G, Auburn, IN 46706-2534 2012-02-15
1609967868 Michael J. Paciorek Md PC Otolaryngology 37 W Garden St, Suite 1, Auburn, NY 13021-2662 2006-09-27
1194834861 Christine M Puig Otolaryngology 310 6th St Ne, Auburn, WA 98002-4342 2006-08-29
1649389305 Nancy Rae Juhlin Otolaryngology 310 6th St Ne, Auburn, WA 98002-4342 2006-08-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477182988 Allergy and Audiology Services of Northwest Indiana LLC Otolaryngology 900 Ridge Rd Ste E, Munster, IN 46321-1727 2020-04-06
1881221208 Morgan Sandelski Otolaryngology 2015 Central Ave, Indianapolis, IN 46202-1634 2020-03-25
1922562339 Transcend Anesthesia, PC Otolaryngology 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 2019-01-30
1023523610 Family Ent Specialists, LLC Otolaryngology 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 2017-12-05
1699295956 David Joseph Trout Otolaryngology 816 Lazy Ln, Lafayette, IN 47904-2722 2017-06-27
1437687126 Dhruv Sharma Otolaryngology 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 2017-05-25
1235585878 Alhasan Najib Elghouche Otolaryngology 12860 University Cres, Apt 1a, Carmel, IN 46032-9472 2016-05-13
1093133415 Bruce Jordan Hopkins Otolaryngology 1569 Preston Trl, Carmel, IN 46032-8970 2014-04-02
1861813776 Rachael L Raffle Otolaryngology 1429 N 6th St Fl 3, Terre Haute, IN 47807-1019 2013-12-18
1043658818 Jessica A. Yesensky Otolaryngology 1544 Carrollton Ave, Indianapolis, IN 46202-2717 2013-06-13
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Competitor

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City AUBURN
Zip Code 46706

Improve Information

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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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