RICHARD SCUDERI (NPI# 1376988162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376988162 |
| Entity Type | Individual |
| Full Name | RICHARD SCUDERI |
| Credential | M.D. |
| Practice Address |
1007 Lincolnway La Porte IN 46350-3201 |
| Practice Telephone | 2193261234 |
| Mailing Telephone | 2193261234 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.146123 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 01077039A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8733 W 400 N, Michigan City, IN 463609330 | 2198034145 | 8555021900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740594092 | Richard T Scuderi | Pathology | 7901 Frost St, San Diego, CA 92123-2701 | 2010-07-28 |
| 1427113471 | Richard Scuderi | Obstetrics & Gynecology | 115 E 67th St, New York, NY 10065-5990 | 2006-12-27 |
| Street Address |
1007 LINCOLNWAY |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699304907 | Katherine Elizabeth Davis | Occupational Therapist | 1007 Lincolnway, La Porte, IN 46350-3290 | 2020-04-07 |
| 1245864057 | Mitchell Steven Molenda | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3290 | 2020-03-02 |
| 1295381580 | Samantha Burrows | Specialist/Technologist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-08-13 |
| 1447805072 | Jill Renee Oscarson | Speech-Language Pathologist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-08-09 |
| 1922663863 | Ashley Lysle Miller | Physical Medicine & Rehabilitation | 1007 Lincolnway, La Porte, IN 46350-3290 | 2019-05-07 |
| 1780249946 | Kyleigh Fife | Physical Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-05-03 |
| 1629542204 | Krista Marie Kerby | Occupational Therapist | 1007 Lincolnway, La Porte, IN 46350-3201 | 2019-01-16 |
| 1538659560 | Stephanie Maris Kadish | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3290 | 2018-05-15 |
| 1346760873 | Cary Lynn Malstaff | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3201 | 2017-06-26 |
| 1134652340 | Pathology Associates of Northwest Indiana Inc | Pathology | 1007 Lincolnway, La Porte, IN 46350-3201 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932520525 | Carlos Serna | Internal Medicine | 1519 Michigan Ave, La Porte, IN 46350-5149 | 2013-12-26 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| 1578620159 | Sapan Subhashbhai Bhatt | Internal Medicine | 404 W Fairmont Pkwy, La Porte, TX 77571-6308 | 2007-01-02 |
| 1487742896 | Syed Muhammad Islam | Internal Medicine | 401 Newporte Blvd, La Porte, IN 46350-2479 | 2006-10-11 |
| 1790713733 | James C Pickford | Internal Medicine | 400 Legacy Plz W, La Porte, IN 46350-5296 | 2006-06-29 |
| 1528015344 | Vinay C Tumuluri | Internal Medicine | 7002 W Johnson Rd, La Porte, IN 46350-8289 | 2006-05-27 |
| 1033172473 | Dilipkumar C Patel | Internal Medicine | 404 W. Fairmont Parkway, La Porte, TX 77571-6308 | 2006-04-07 |
| 1609861509 | Joseph Rosenblum | Internal Medicine | 824 Lincolnway, Loft #2, La Porte, IN 46350-3411 | 2005-09-16 |
| 1316948789 | Charles Floyd Motley Jr. | Internal Medicine | 6916 W Johnson Rd, La Porte, IN 46350-8247 | 2005-08-09 |
| 1538401286 | Charles F Motley PC | Internal Medicine | 6916 W Johnson Rd, La Porte, IN 46350-6548 | 2013-03-20 |
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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.