LAKSHMI D MIZIN (NPI# 1275510240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275510240 |
| Entity Type | Individual |
| Full Name | LAKSHMI D MIZIN |
| Credential | MD |
| Practice Address |
187 Fallbrook St Carbondale PA 18407-1861 |
| Mailing Address |
187 Fallbrook St P O Box 577 Carbondale PA 18407-1861 |
| Practice Telephone | 5702825189 |
| Practice Fax Number | 5702825551 |
| Mailing Telephone | 5702825189 |
| Mailing Fax Number | 5702825551 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD024661E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010040040004 | 05 |
| Street Address |
187 FALLBROOK ST |
| City | CARBONDALE |
| State | PA |
| Zip Code | 18407-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| Find all providers in zip 18407 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1720632508 | Kaitlin Elizabeth Behnken | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-30 |
| 1356995401 | Cassandra Chambers | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2019-07-27 |
| 1689029993 | Ashley L. Brown | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2016-04-25 |
| 1093193773 | Andrea Williams | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1414 | 2015-05-13 |
| 1093128720 | Vadzim Chyzhyk | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2014-06-10 |
| 1487096962 | Krishna Chaitanya Cherukuri | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2013-07-24 |
| 1790047736 | Stephen Otieno Awuor | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2012-06-14 |
| 1982983599 | Shahabuddin Mohammad | Internal Medicine | 409 W Oak St, Carbondale, IL 62901 | 2011-08-12 |
| 1891948014 | Gangadhar Rao Malasana | Internal Medicine | 409 W Oak St, Carbondale, IL 62901-1464 | 2008-10-31 |
| 1891973418 | Arun J Shingala Md PC | Internal Medicine | 141 Salem Ave, Rm 301, Carbondale, PA 18407 | 2008-02-06 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 18407 |
Please comment or provide details below to improve the information on LAKSHMI D MIZIN.
| 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.