MR. DONALD JUDE VENNEKOTTER (NPI# 1376510958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376510958 |
| Entity Type | Individual |
| Full Name | MR. DONALD JUDE VENNEKOTTER |
| Credential | M.D. |
| Practice Address |
721 W 13th St Suite 220 Jasper IN 47546-1817 |
| Practice Telephone | 8124824494 |
| Practice Fax Number | 8124824499 |
| Mailing Telephone | 8124824494 |
| Mailing Fax Number | 8124824499 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2008-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01041321 | IN | Other Service Providers |
| Y | 208600000X | Surgery | 01041321 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200002870 | 05 | |
| IN | ATHEM BLUE CROSS | 00000022029 | 01 |
| IN | ANTHEM | 000000220292 | 01 |
| Street Address |
721 W 13TH ST SUITE 220 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1154789436 | Richard Moss Md | Clinic/Center | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2016-02-02 |
| 1427424910 | April Susnjara | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-08-19 |
| 1336530500 | Nicole Nale | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-02-10 |
| 1457786501 | Allyson Mudd | Nurse Practitioner | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-09-09 |
| 1427482074 | Evan B Hurst, Md, Internal Medicine, PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-08-29 |
| 1427481852 | Kristen El-houjairy | Nurse Practitioner | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2013-08-21 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| 1881031821 | Lindsey Taylor | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-05-31 |
| 1285973016 | Ann B Patterson Md PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-02-14 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1710228986 | Kyle Andrew Packer | Surgery | 3400 Highway 78 E Ste 316, Jasper, AL 35501-8951 | 2013-03-12 |
| 1083671994 | Carol Lynn Adams | Surgery | 300 N Airport Rd Ste 2, Jasper, AL 35504-2516 | 2006-04-26 |
| 1467414359 | Roy Chu | Surgery | 80 Interstate South Dr, Ste B, Jasper, GA 30143-6226 | 2006-04-05 |
| 1700856432 | Le Roy W Hodges | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2006-01-25 |
| 1952685083 | K.c. Surgical Associates, PC | Surgery | 3400 Highway 78 E, Medical Arts Tower #504, Jasper, AL 35501-8907 | 2011-10-07 |
| 1821389081 | John Isaac Baker | Surgery | 3400 Highway 78 E, Medical Arts Tower, Suite 502, Jasper, AL 35501-8956 | 2011-04-22 |
| 1093959082 | Jasper General Surgery | Surgery | 3400 Highway 78 E, Medical Arts Tower; Suite 504, Jasper, AL 35501-8907 | 2009-04-22 |
| 1013154632 | Bradley Dwayne Hare | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2009-01-20 |
| 1841441458 | Carliss Christopher Graham | Surgery | 80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 | 2008-10-02 |
| Find all providers in JASPER | ||||
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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.