DEIDRE ROSE DORMAN


Address: 1500 Neely Ave, Ball State University Student Health Center, Muncie, IN 47306-0001
Phone: 7652858431

DEIDRE ROSE DORMAN (NPI# 1275621229) 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) 1275621229
Entity Type Individual
Full Name DEIDRE ROSE DORMAN
Credential M.D.
Practice Address 1500 Neely Ave
Ball State University Student Health Center
Muncie
IN 47306-0001
Practice Telephone 7652858431
Practice Fax Number 7652853512
Mailing Telephone 7652858431
Mailing Fax Number 7652853512
Enumeration Date 2006-10-11
Last Update Date 2012-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01058517A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200478710 05

Other Providers DEIDRE DORMAN

NPI Name Taxonomy Address Enumeration
1982094298 Deidre Celeste Dorman Nurse Practitioner 39 Kent Rd Ste 2, Tifton, GA 31794-1697 2015-01-26

Office Location

Street Address 1500 NEELY AVE
BALL STATE UNIVERSITY STUDENT HEALTH CENTER
City MUNCIE
State IN
Zip Code 47306-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225082548 Amy Shih-mei Fong Family Medicine 1500 Neely Ave, Muncie, IN 47306-0001 2006-05-20
1972091874 Curita Westbrook Nurse Practitioner 1500 Neely Ave, Muncie, IN 47306-0001 2018-04-25
1093135121 Jessie Rice Psychiatry & Neurology 1500 Neely Ave, Muncie, IN 47306-6560 2014-04-16
1376854935 Indiana University Health Ball Memorial Physicians, Inc. Family Medicine 1500 Neely Ave, Room 008, Muncie, IN 47306-0816 2010-06-29
1275852477 Indiana University Health Ball Memorial Physicians, Inc. Family Medicine 1500 Neely Ave, Muncie, IN 47306-0001 2010-05-27
1295919710 Lisa M Jones Nurse Practitioner 1500 Neely Ave, Muncie, IN 47306-0001 2007-12-19
1891983284 Accounting Cardinal Health Ventures, Inc. Nurse Practitioner 1500 Neely Ave, Muncie, IN 47306-0001 2007-10-10
1376647321 Indiana University Health Ball Memorial Physicians Inc Pharmacy 1500 Neely Ave, Muncie, IN 47306-0001 2006-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457850406 Daniel Yats Specialist/Technologist 2000 W. University Ave. Hp 260, Muncie, IN 47306 2018-02-06
1396151478 Dorice Hankemeier Specialist/Technologist Ball State University, Hp 328, Muncie, IN 47306 2014-07-09
1114994191 Lisa S Jutte Specialist/Technologist 1740 Neely, Ball State University; Speses, Hp 222h, Muncie, IN 47306 2006-03-08
1073587622 Stacy Walker Specialist/Technologist Health Professions Building 439, Ball State University, Muncie, IN 47306 2006-02-13
1285283556 Joseph Lee Zimmerman Specialist/Technologist Ball State University 2000 W University Ave, Muncie, IN 47306-0001 2019-09-09
1568960680 April Nicole Mcelroy-rubush Nurse Practitioner 1500 Neely Avenue, Muncie, IN 47306-0001 2018-01-23
1295137925 Ball State University Family Medicine Hp 260, Muncie, IN 47306-0001 2014-09-25
1487833109 Jennifer S Davis Nurse Practitioner Ball State University Student Health Center, 1500 Neely Ave., Muncie, IN 47306-0001 2007-10-30
1760604201 Claudia Diane Updike Audiologist Ball State University Audiology Clinic, Muncie, IN 47306-0001 2007-05-03
1033232756 Kirk John Armstrong Specialist/Technologist Ball State Univesity, 2000 W. University Blvd, Muncie, IN 47306-0001 2007-04-09
Find all providers in zip 47306

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336597301 Meridian Health Services Corp Family Medicine 110 E Wysor St, Muncie, IN 47305-1724 2016-05-31
1609235142 Henry County Memorial Hospital Family Medicine 3521 W Purdue Ave, Muncie, IN 47304-6358 2016-02-12
1700217189 Elite Healthcare of Muncie Inc. Family Medicine 3417 W Bethel Ave Ste A, Muncie, IN 47304-7504 2013-12-10
1396094629 Abundant Health Family Medicine Family Medicine 1720 S Burlington Drive, Muncie, IN 47302-2771 2012-08-31
1124228010 Lisa Renee Clay Family Medicine 210 N Celia Ave, Muncie, IN 47303 2007-07-19
1659571602 Valena & Valena PC Family Medicine 818 W White River Blvd, Muncie, IN 47303-3868 2007-07-18
1972702744 Jean Langley Roberts Family Medicine 1200 W White River Blvd, Muncie, IN 47303-4988 2007-07-12
1598821266 Larry Lee Mccallister Family Medicine 217 S Cherry St, Muncie, IN 47305-1506 2006-12-28
1871670513 Paul Phillip Cooley Family Medicine 3631 North Morrison Road, Suite 200, Muncie, IN 47304 2006-11-01
1710908389 Stephen Roger Miller Family Medicine 3911 W Clara Ln, Muncie, IN 47304-5412 2006-07-21
Find all providers in MUNCIE

Competitor

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City MUNCIE
Zip Code 47306

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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