DR. KEVIN ANDRE MYRIE (NPI# 1316193162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316193162 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ANDRE MYRIE |
| Credential | M.D, |
| Practice Address |
90 W 86th Ave Nephrology Associates of Northern Indiana Merrillville IN 46410-7086 |
| Mailing Address |
855 Madison St Nephrology Associates of Northern Indiana Oak Park IL 60302-4420 |
| Practice Telephone | 2197911555 |
| Practice Fax Number | 2197911560 |
| Mailing Telephone | 7084924077 |
| Mailing Fax Number | 7083862839 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2013-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
1071201A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201077180 | 05 |
| Street Address |
90 W 86TH AVE NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494049 | Kmlst Moorthi | Internal Medicine | 90 W 86th Ave, Nephrology Associates of Northern Indiana, Merrillville, IN 46410-7086 | 2005-06-01 |
| 1790208197 | Melinda Michelle Abbring | Nurse Practitioner | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2017-07-18 |
| 1619098571 | Kenneth Lee Choi | Internal Medicine | 90 W 86th Ave, Nani, Ltd, Merrillville, IN 46410-7086 | 2007-04-02 |
| 1730186081 | Venkat Vavilala | Internal Medicine | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2005-07-01 |
| 1396742748 | Yves Frantz Brignol | Internal Medicine | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2005-06-30 |
| 1841297348 | Sandra L Gadson | Internal Medicine | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1538332689 | Sridivya Kumar | Internal Medicine | 200 E 80th Pl Unit 2, Merrillville, IN 46410-5671 | 2008-04-09 |
| 1639176118 | Thomas Carl Golubski | Internal Medicine | 8668 Broadway, Merrillville, IN 46410-7034 | 2005-06-30 |
| 1861494049 | Kmlst Moorthi | Internal Medicine | 90 W 86th Ave, Nephrology Associates of Northern Indiana, Merrillville, IN 46410-7086 | 2005-06-01 |
| 1417336207 | Kidney Care Center Merrillville LLC | Internal Medicine | 200 E 80th Pl, Unit 2, Merrillville, IN 46410-5671 | 2015-05-26 |
| 1740628726 | Vikash Kumar Sinha | Internal Medicine | 200 E 80th Pl Unit 2, Merrillville, IN 46410 | 2013-06-12 |
| 1619098571 | Kenneth Lee Choi | Internal Medicine | 90 W 86th Ave, Nani, Ltd, Merrillville, IN 46410-7086 | 2007-04-02 |
| 1285718619 | Maher Ajam, M.d., P.C. | Internal Medicine | 200 E 89th Ave, Merrillville, IN 46410-7318 | 2006-10-24 |
| 1073501136 | Katrina E Wright | Internal Medicine | 8668 Broadway, Merrillville, IN 46410-7034 | 2005-10-12 |
| 1730186081 | Venkat Vavilala | Internal Medicine | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2005-07-01 |
| 1396742748 | Yves Frantz Brignol | Internal Medicine | 90 W 86th Ave, Merrillville, IN 46410-7086 | 2005-06-30 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.