MRS. LAINE ELAM (NPI# 1265516751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265516751 |
| Entity Type | Individual |
| Full Name | MRS. LAINE ELAM |
| Other Name | LAINE BEATY |
| Credential | PAC |
| Practice Address |
2525 W University Ave Ste 402 Muncie IN 47303-3409 |
| Mailing Address |
3500 W Purdue Ave Muncie IN 47304-6357 |
| Practice Telephone | 7657476090 |
| Practice Fax Number | 7657475069 |
| Mailing Telephone | 7657476090 |
| Mailing Fax Number | 7657475069 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000270A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2525 W UNIVERSITY AVE STE 402 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053339408 | Robert Alexander Muller | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2006-07-17 |
| 1578615266 | University Dermatology Center PC | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2007-01-16 |
| 1336223833 | Lisa Ann Wilson | Dermatology | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487698072 | Gennady P Chernyak | Physician Assistant | 1808 West Royale Drive, Dermatology Clinic of Muncie, Inc., Muncie, IN 47304-2243 | 2006-06-15 |
| 1437787066 | Stephanie L Sullender | Physician Assistant | 3500 W Purdue Ave, Muncie, IN 47304-6357 | 2020-03-30 |
| 1861031593 | Lauren Stavroff | Physician Assistant | 4008 W Bethel Ave, Muncie, IN 47304-5442 | 2019-12-28 |
| 1972086437 | Richard B Shore II | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2018-09-11 |
| 1376064972 | Stephanie N Murdock | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2017-07-05 |
| 1801347299 | Joseph Richichi | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-20 |
| 1366992653 | Robert S Lynch | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2016-10-11 |
| 1114476611 | Karissa Carpenter | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-09-25 |
| 1295101079 | Brittani Sizelove | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2015-08-17 |
| 1407283781 | Shc Medical Partners of Indiana, LLC | Physician Assistant | 4301 N Walnut St, Muncie, IN 47303-1190 | 2013-10-02 |
| Find all providers in MUNCIE | ||||
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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.