DR. KEVIN GENE DREW (NPI# 1275538373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275538373 |
| Entity Type | Individual |
| Full Name | DR. KEVIN GENE DREW |
| Credential | MD |
| Practice Address |
3740 Edison Lakes Pkwy Mishawaka IN 46545-3448 |
| Practice Telephone | 5742524150 |
| Practice Fax Number | 5742524159 |
| Mailing Telephone | 5742524150 |
| Mailing Fax Number | 5742524159 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
01042863 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | US DEPT OF LABOR | 129646400 | 01 |
| IN | ANTHEM BLUE CROSS BLUE SH | 000000093083 | 01 |
| IN | TRICARE HEALTHNET | 3520574 | 01 |
| MI | BLUE CROSS/SHIELD MICHIGA | 250A110370 | 01 |
| IN | RR MEDICARE | 250009418 | 01 |
| MI | 103400810 | 05 | |
| MI | 104240346 | 05 | |
| IN | 200137230A | 05 | |
| MI | 103506865 | 05 | |
| MI | 35205027103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364246 | Kevin Charles Drew | Registered Nurse | 1859 Rambling Dr, Springfield, OR 97477-2417 | 2020-04-10 |
| 1356640577 | Kevin William Drew | Specialist/Technologist | 400 Cedar Ave, West Long Branch, NJ 07764-1804 | 2011-03-28 |
| Street Address |
3740 EDISON LAKES PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134672728 | Jonathan D.v. Sanner | Physical Therapist | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 | 2016-07-29 |
| 1265701155 | Loraine A Fisher | Nurse Practitioner | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3448 | 2011-12-21 |
| 1912074659 | Michiana Spine Sports & Occupational Rehab P C | Physical Medicine & Rehabilitation | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 | 2006-11-29 |
| 1750316196 | John L Kittredge | Physician Assistant | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 | 2006-07-12 |
| 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 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912074659 | Michiana Spine Sports & Occupational Rehab P C | Physical Medicine & Rehabilitation | 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683471 | New Wellspring LLC | Physical Medicine & Rehabilitation | 2400 Northpark Dr Ste 20, Columbus, IN 47203-4467 | 2018-09-20 |
| 1003247008 | Advancd Pain and Rehab Md LLC | Physical Medicine & Rehabilitation | 1443 S Lake Park Ave, Hobart, IN 46342-6635 | 2013-12-02 |
| 1639454440 | Merrillville Pain Relief Center PC | Physical Medicine & Rehabilitation | One Tower Plaza, 111 E 89th Avenue, Ste 111, Merrillville, IN 46410-7184 | 2011-10-13 |
| 1639211808 | Joseph William Bergeron | Physical Medicine & Rehabilitation | 9292 N Meridian St Ste 111, Indianapolis, IN 46260-1828 | 2007-02-13 |
| 1861542565 | Ofelia Balagtas-balmaseda | Physical Medicine & Rehabilitation | 4812 S 7th St, Terre Haute, IN 47802-4502 | 2007-01-12 |
| 1548352727 | Choong Jin Yoon | Physical Medicine & Rehabilitation | 600 Saint Andrews Dr, Schererville, IN 46375-2970 | 2006-09-28 |
| 1669425419 | Heartland Physical Medicine & Rehabilitation PC | Physical Medicine & Rehabilitation | 1019 E Springhill Dr, Terre Haute, IN 47802 | 2006-05-19 |
| 1730130402 | Robert K Silbert | Physical Medicine & Rehabilitation | 6640 Parkdale Pl, Suite R, Indianapolis, IN 46254-5619 | 2006-05-15 |
| 1467423939 | Mark V Reecer | Physical Medicine & Rehabilitation | 5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166 | 2006-01-31 |
| 1295732055 | Steven A Rupert | Physical Medicine & Rehabilitation | 2330 Lynch Rd, Suite 100, Evansville, IN 47711-2998 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
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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.