DR. MARYGRACE PENNELLA (NPI# 1265551899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265551899 |
| Entity Type | Individual |
| Full Name | DR. MARYGRACE PENNELLA |
| Credential | DC |
| Practice Address |
9780 Lantern Rd Suite 230 Fishers IN 46037-4092 |
| Practice Telephone | 3178630365 |
| Mailing Telephone | 3178630365 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001966A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200316610A | 05 |
| Street Address |
9780 LANTERN RD SUITE 230 |
| City | FISHERS |
| State | IN |
| Zip Code | 46037-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449043 | Medical Psychology Associates, PC | Psychologist | 9780 Lantern Rd, Suite 210, Fishers, IN 46038-4092 | 2005-07-07 |
| 1386881431 | Richard C. Weber, D.d.s., LLC | Dentist | 9780 Lantern Rd, Suite 110, Fishers, IN 46037-4092 | 2009-01-12 |
| 1245429711 | Stillpoint Family Chiropractic, Inc | Chiropractor | 9780 Lantern Rd, Suite 230, Fishers, IN 46037-4092 | 2007-10-19 |
| 1811057938 | Proscan Imaging of Indianapolis, LLC | Radiology | 9780 Lantern Rd, Suite 250, Fishers, IN 46037-4092 | 2006-12-11 |
| 1386745792 | Richard C. Weber | Dentist | 9780 Lantern Rd, Suite 110, Fishers, IN 46037-4092 | 2006-09-26 |
| 1265468466 | Themen S. Danielson Jr. | Psychiatry & Neurology | 9780 Lantern Rd, Suite 210, Fishers, IN 46037-4092 | 2006-06-23 |
| 1275514440 | Amputee Care Center,inc. | Durable Medical Equipment & Medical Supplies | 9780 Lantern Rd, Suite 140, Fishers, IN 46037-4092 | 2005-11-07 |
| 1356349898 | James M Rice | Psychologist | 9780 Lantern Rd, Suite 210, Fishers, IN 46038-4092 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1033776604 | Diane M Gianfagna-meils | Reflexologist | 9117 Thoreau Court, Fishers, IN 46037 | 2019-05-20 |
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1578098703 | Galaxy Healthcare Services LLC | Home Health | 12262 Steepleview Ct, Fishers, IN 46037 | 2017-04-25 |
| 1386980472 | Brenda Lynn Thompson | Counselor | 8880 Jaywick Dr Apt 206, Fishers, IN 46037 | 2012-12-18 |
| 1972887941 | Molly E Bruvold | Pharmacist | 13741 East 116th Street, Fishers, IN 46037 | 2011-10-07 |
| 1588970867 | Marie C. Holt, Dds | Dentist | 7862 E. 96th St., Fishers, IN 46037 | 2010-08-25 |
| 1114157815 | Francis Edward Mcaree Jr. | Obstetrics & Gynecology | 10907 300 Yd. Dr, Fishers, IN 46037 | 2009-07-16 |
| 1740433820 | Robert Gerald Klitzman | Orthopaedic Surgery | 13100 E. 136th St., Suite 2000, Fishers, IN 46037 | 2008-11-03 |
| Find all providers in zip 46037 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381525 | Excellence Chiropractic & Wellness | Chiropractor | 10298 E 96th St, Fishers, IN 46037-9497 | 2020-09-16 |
| 1235754797 | Michael Mackenzie Gearheart | Chiropractor | 13991 Avalon East Dr, Fishers, IN 46037-6211 | 2020-06-10 |
| 1982224473 | Chiro One Wellness Center of Fishers LLC | Chiropractor | 11670 Commercial Dr Ste 300, Fishers, IN 46038-2925 | 2020-04-24 |
| 1043865710 | Taylor Ann Helms | Chiropractor | 11580 Overlook Dr Ste 200, Fishers, IN 46037-4221 | 2019-08-08 |
| 1629591979 | Life Refined Chiropractic, LLC | Chiropractor | 14214 Valley Crest Ct, Fishers, IN 46040 | 2017-07-19 |
| 1932636263 | Ian Steele Boone | Chiropractor | 11876 Olio Rd Ste 500, Fishers, IN 46037-9772 | 2017-05-17 |
| 1942656608 | Scott Minton | Chiropractor | 11852 Allisonville Rd, Fishers, IN 46038-2312 | 2016-05-11 |
| 1942621743 | Kyle Peacock | Chiropractor | 11773 Commercial Dr, Fishers, IN 46038-2904 | 2013-12-20 |
| 1164853727 | Kathleen Wiemold | Chiropractor | 10126 Brooks School Rd, Fishers, IN 46037-9575 | 2013-12-09 |
| 1740525658 | Bell Chiropractic Center P.C. | Chiropractor | 10412 Allisonville Rd., Suite 203, Fishers, IN 46038-2030 | 2012-12-04 |
| Find all providers in FISHERS | ||||
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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.