BLOOMINGTON SLEEP SPECIALISTS, LLC (NPI# 1356532113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356532113 |
| Entity Type | Organization |
| Organization Name | BLOOMINGTON SLEEP SPECIALISTS, LLC |
| Practice Address |
2920 Mcintyre Dr Suite 350 Bloomington IN 47403-4221 |
| Practice Telephone | 8123327337 |
| Practice Fax Number | 8123392934 |
| Mailing Telephone | 8123327337 |
| Mailing Fax Number | 8123392934 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | DR. LAWRENCE C MCBRIDE (PRACTICE MANAGER) |
| Authorized Official Telephone | 8123327337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2920 MCINTYRE DR SUITE 350 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265869 | Janis Farquhar Stevenson | Nurse Practitioner | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-14 |
| 1962685487 | Jennifer Long | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2007-12-06 |
| 1982762415 | Wygonda Kay Rogers | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2006-12-05 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| 1952487639 | Alice B Wood | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1609952332 | Andy J. Stafford | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1467538124 | Robert E Wrenn | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1629182233 | Monroe Surgical Associates | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-19 |
| 1205843323 | Quyen Ngoc Tran | Nurse Anesthetist, Certified Registered | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-02 |
| 1306862156 | Elizabeth A Thompson | Audiologist-Hearing Aid Fitter | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015485 | Center for Sleep and Nasal Sinus Disorders, LLC | Otolaryngology | 2012 S Main St Ste B, Goshen, IN 46526-5200 | 2019-07-19 |
| 1629295951 | Robert D. Mcquiston, M.d., Inc | Otolaryngology | 8216 Madison Ave, Indianapolis, IN 46227-6013 | 2007-04-19 |
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.