KIMBERLY L FLEISCHHAUER (NPI# 1306014949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306014949 |
| Entity Type | Individual |
| Full Name | KIMBERLY L FLEISCHHAUER |
| Credential | CST, CFA |
| Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Mailing Fax Number | 7654488335 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
F01392 | IN | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
F01392 | IN | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000553136 | 01 |
| Street Address |
2600 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
| 1053953695 | Emily Ann Fusiek | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-15 |
| 1700428836 | Victoria Logan Mccain | Nurse Practitioner | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-10 |
| 1700361847 | Heather Richey | Physical Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-09-25 |
| 1588157218 | Shelby Lee Mitchell | Occupational Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-06-07 |
| 1649760885 | Elaine J Budreau | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904 | 2018-05-14 |
| 1487172342 | Abhijeet Ahluwalia | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-31 |
| 1518482603 | Christine Annette Pattison | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-09 |
| 1013438407 | Pallavi Ram Shinde | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516406 | Victoria Claire Robinson | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-04-03 |
| 1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
| 1366968562 | Nichole E. Tolle | Specialist/Technologist, Other | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2017-08-18 |
| 1740641190 | Shelly Blocher | Specialist/Technologist, Other | 1345 Unity Pl, Ste 210, Lafayette, IN 47905-5760 | 2016-03-14 |
| 1063871770 | Kimberly Gangwer | Specialist/Technologist, Other | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2016-02-23 |
| 1720447923 | Ginger Duplantis | Specialist/Technologist, Other | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2016-02-16 |
| 1902074552 | Anne Hunter | Specialist/Technologist, Other | 2600 Ferry St, Indianapolis Neurosurgical Group, Lafayette, IN 47904-3055 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750056 | Brazzale Surgical Assisting LLC | Specialist/Technologist, Other | 1911 Huppenthal Dr, Schererville, IN 46375-3008 | 2019-09-20 |
| 1043868839 | Danielle Rekitzke | Specialist/Technologist, Other | 745 Hiawatha Ct, Lowell, IN 46356-1631 | 2019-08-27 |
| 1104392208 | Hassan Hanna | Specialist/Technologist, Other | 375 Kingsmill Dr, Chesterton, IN 46304-2266 | 2018-10-17 |
| 1568992055 | Ariel Patricia Brazzale | Specialist/Technologist, Other | 4936 Pheasant Ct, Schererville, IN 46375-3384 | 2017-06-15 |
| 1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
| 1821536574 | Craig Cole | Specialist/Technologist, Other | 901 Somerset Ct, Sellersburg, IN 47172-2811 | 2017-02-02 |
| 1275075137 | Dusko Mirjanic | Specialist/Technologist, Other | 133 Holly Ln, Schererville, IN 46375-1177 | 2016-11-09 |
| 1447709118 | Christina L. Hope | Specialist/Technologist, Other | 8141 S Emerson Ave Suite A, Indianapolis, IN 46237-8560 | 2016-09-23 |
| 1811376494 | Jeremy Ingram | Specialist/Technologist, Other | 1806 Bono Rd Apt 16, New Albany, IN 47150-4680 | 2015-05-28 |
| 1861800195 | Audie Williams | Specialist/Technologist, Other | 438 W Clearwater Dr, Warsaw, IN 46582-7769 | 2014-07-30 |
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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.