THEODORE A WAFLART


Address: 800 W 9th St, Jasper, IN 47546-2514
Phone: 8124815750

THEODORE A WAFLART (NPI# 1316039498) 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) 1316039498
Entity Type Individual
Full Name THEODORE A WAFLART
Credential M.D.
Practice Address 800 W 9th St
Jasper
IN 47546-2514
Mailing Address Po Box 1028
Jasper
IN 47547-1028
Practice Telephone 8124815750
Practice Fax Number 8124815763
Mailing Telephone 8124818493
Mailing Fax Number 8124818497
Enumeration Date 2006-09-28
Last Update Date 2010-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
01027456A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 10010907A 05

Office Location

Street Address 800 W 9TH ST
City JASPER
State IN
Zip Code 47546-2514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679571871 Bilal Ahmed Psychiatry & Neurology 800 W 9th St, Jasper, IN 47546-2514 2005-07-12
1558974402 Kathleen Begle Registered Nurse 800 W 9th St, Jasper, IN 47546-2514 2020-08-28
1073123022 Cassey W Ziegler Nurse Practitioner 800 W 9th St, Jasper, IN 47546-2516 2020-08-05
1801424940 Margaret L Boeckman-schneider Nurse Anesthetist, Certified Registered 800 W 9th St, Jasper, IN 47546-2514 2020-04-01
1184250276 Kami Hopf Registered Nurse 800 W 9th St, Jasper, IN 47546-2514 2020-03-20
1578197596 Autumn Leslie Acosta Physical Therapist 800 W 9th St, Jasper, IN 47546-2514 2020-02-28
1194299958 Samantha J Spellmeyer Nurse Practitioner 800 W 9th St, Jasper, IN 47546-2514 2019-01-15
1164991808 Maranda Helsley Social Worker 800 W 9th St, Jasper, IN 47546-2514 2018-11-23
1447735253 Dena R Kamman-rasche Nurse Practitioner 800 W 9th St, Jasper, IN 47546-2514 2018-09-27
1760964217 Kaitlin E Strange Social Worker 800 W 9th St, Jasper, IN 47546-2514 2018-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497303572 Marissa L Brosmer Registered Nurse 440 Scott Rolen Drive, Jasper, IN 47546 2019-08-30
1154887040 Jesc LLC Clinic/Center 647 West Second Street Suite A, Jasper, IN 47546 2019-02-15
1427384858 Therapro LLC Clinic/Center 306 1/2 Main Street, Jasper, IN 47546 2009-10-20
1255459780 Billy Lee Berry Counselor 332 3rd Ave, Jasper, IN 47546 2007-03-26
1285776294 Gregory K. Gordon Optometrist 471 Us 231 S, Jasper, IN 47546 2007-02-13
1902951312 Urology Specialists PC Urology 1950 St Charles Street, Suite 3, Jasper, IN 47546 2007-01-24
1568548501 Ralph E Mehling Pharmacist #435 Us 231 S, Jasper, IN 47546 2006-10-31
1962585430 Heart To Heart Hospice of Southwest Indiana LLC Hospice Care, Community Based 415 E 6th St, Jasper, IN 47546 2006-10-20
1245347137 Roy Elliott Cecchi Obstetrics & Gynecology 613 Dorbett Street, Jasper, IN 47546 2006-08-24
1093828790 Sleep Management Institute LLC Internal Medicine 3157 Villa Way, Jasper, IN 47546 2006-08-16
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Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760012181 Samantha Gayle Yeagy Emergency Medicine 11700 S E 00 W, Fairmount, IN 46928-9318 2020-01-24
1508973165 Jason Paul Hodde Emergency Medicine 1425 Innovation Place, West Lafayette, IN 47906 2006-08-23
1952863615 Travis Smarelli Emergency Medicine 300 Main St, Whiteland, IN 46184-1550 2019-04-02
1518161769 Lindsay G Tanner Emergency Medicine 395 Westfield Rd, Noblesville, IN 46060-1425 2007-06-12

Competitor

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City JASPER
Zip Code 47546

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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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