DR. DOUGLAS L. JARVIS (NPI# 1376542050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376542050 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS L. JARVIS |
| Credential | D.O. |
| Practice Address |
56218 Parkway Ave Suite B Elkhart IN 46516-9326 |
| Practice Telephone | 5742930005 |
| Practice Fax Number | 5742930019 |
| Mailing Telephone | 5742930005 |
| Mailing Fax Number | 5742930019 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
02001719A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS # | 000000109345 | 01 |
| IN | 200133490A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194137612 | Douglas Landry Jarvis | Orthopaedic Surgery | 12611 N Community House Rd Ste 100, Charlotte, NC 28277-3817 | 2014-06-02 |
| Street Address |
56218 PARKWAY AVE SUITE B |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508239591 | Christopher Luis Castaneda | Nurse Anesthetist, Certified Registered | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2015-11-12 |
| 1629489265 | Elena Chance | Nurse Anesthetist, Certified Registered | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2014-05-16 |
| 1447683693 | Denise E Green | Counselor | 56218 Parkway Ave, Elkhart, IN 46516-9326 | 2013-08-12 |
| 1396180659 | Michiana Counseling Group, LLC | Social Worker | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2013-04-30 |
| 1295178994 | Kristin Reed | Nurse Anesthetist, Certified Registered | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2013-04-11 |
| 1720342983 | Jessica Lyn Lala | Social Worker | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2012-07-02 |
| 1922138759 | Carol A. Jarvis | Social Worker | 56218 Parkway Ave, Suite B, Elkhart, IN 46516-9326 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176969 | Olivia Nunez Iway | Psychiatry & Neurology | 411 Sunset Dr., Elkhart, KS 67950 | 2005-07-01 |
| 1447583455 | Sadeq Al-sarraf | Psychiatry & Neurology | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2009-09-09 |
| 1073546362 | Susan Taccheri | Psychiatry & Neurology | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2006-07-09 |
| 1982648960 | Allen J Stuckey | Psychiatry & Neurology | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2006-06-16 |
| 1861432346 | Timothy C Mcfadden | Psychiatry & Neurology | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2006-06-06 |
| 1700831229 | Morton County Hospital | Psychiatry & Neurology | 411 Sunset, Elkhart, KS 67950 | 2006-05-23 |
| 1952300584 | Abdul M Malik | Psychiatry & Neurology | 3301 County Road 6 E, Elkhart, IN 46514 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051641 | Optimal Medical Services LLC | Psychiatry & Neurology | 10967 Allisonville Rd Ste 110b, Fishers, IN 46038-2634 | 2020-07-23 |
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1457988107 | Quality 360 Healthcare Alliance | Psychiatry & Neurology | 12900 N Meridian St Ste 140, Carmel, IN 46032-5401 | 2020-03-24 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1053761460 | Joel D Hart | Psychiatry & Neurology | 147 E Us Highway 36, Lynn, IN 47355-9193 | 2016-06-16 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 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.