SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC (NPI# 1336502913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336502913 |
| Entity Type | Organization |
| Organization Name | SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC |
| Practice Address |
215 W 4th St 2nd Fl Mishawaka IN 46544-1917 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7179721100 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | MICHAEL TARVIN (VP) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316306178 | Select Specialty Hospital - Northern Indiana, LLC | Long Term Care Hospital | 215 W 4th St, 2nd Floor, Mishawaka, IN 46544-1917 | 2016-02-22 |
| Street Address |
215 W 4TH ST 2ND FL |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291693 | River Bend Anesthesia, LLC | Anesthesiology | 215 W 4th St, Mishawaka, IN 46544-1917 | 2005-11-10 |
| 1316306178 | Select Specialty Hospital - Northern Indiana, LLC | Long Term Care Hospital | 215 W 4th St, 2nd Floor, Mishawaka, IN 46544-1917 | 2016-02-22 |
| 1356687164 | Sound Physicians of Indiana, LLC | Family Medicine | 215 W 4th St, # 200, Mishawaka, IN 46544-1917 | 2012-12-26 |
| 1346538824 | Knd Development 59 LLC | Hospitalist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2011-07-18 |
| 1679876940 | Triumph Rehabilitation Hospital Northern Indiana LLC | Rehabilitation Hospital | 215 W 4th St, Suite 200, Mishawaka, IN 46544-1917 | 2010-12-08 |
| 1194978940 | Scci Hospitals of America, LLC | Long Term Care Hospital | 215 W 4th St, Mishawaka, IN 46544 | 2008-10-24 |
| 1609072982 | Sandra A. Cho, Dpm, LLC | Podiatrist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2007-06-25 |
| 1760560114 | Christina Kaye Senff | Dietitian, Registered | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-11-02 |
| 1841216363 | Patricia M Nietch | Nurse Practitioner | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-07-15 |
| 1760437461 | Saint Joseph Community Hospital of Mishawaka Inc | Skilled Nursing Facility | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437600541 | Unity Hospitalist LLC | Hospitalist | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2016-10-24 |
| 1346538824 | Knd Development 59 LLC | Hospitalist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
| 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.