KEVIN MICHAEL HOUSEMAN (NPI# 1376836916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376836916 |
| Entity Type | Individual |
| Full Name | KEVIN MICHAEL HOUSEMAN |
| Credential | DPM |
| Practice Address |
1824 Dorchester Ct Ste A Goshen IN 46526 |
| Mailing Address |
1824 Dorchester Ct Ste A Goshen IN 46526-6819 |
| Practice Telephone | 5745342548 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07001314A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 36003700 | OH | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0103573 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1824 Dorchester Ct Ste A, Goshen, IN 465266819 | 5745342548 | |
| 550 S Trimble Rd, Mansfield, OH 449063418 | 4197561961 | 4197749145 |
| Street Address |
1824 DORCHESTER CT STE A |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497911325 | Christopher John Owens | Orthopaedic Surgery | 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 | 2008-07-30 |
| 1124590237 | Maritza E Chavez Stahly | Specialist/Technologist | 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 | 2018-12-31 |
| 1477087575 | Kirby Wilcoxson | Nurse Practitioner | 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 | 2017-04-14 |
| 1780096156 | Robert Lane Jr. | Orthopaedic Surgery | 1824 Dorchester Ct Ste A, Goshen, IN 46526-6819 | 2014-05-20 |
| 1487094371 | Lindsay M Neff | Registered Nurse | 1824 Dorchester Ct Ste A, Goshen, IN 46526 | 2013-06-25 |
| 1578791398 | Nicholas Defauw | Family Medicine | 1824 Dorchester Ct Ste A, Goshen, IN 46526 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336184 | Sharon Hubert Valencia | Podiatrist | 30 Matthews St, Ste 114, Goshen, NY 10924-1963 | 2005-09-19 |
| 1457435299 | Sharon H Valencia Dpm PC | Podiatrist | 30 Matthews St, Suite 114, Goshen, NY 10924-1963 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
| 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.