DR. MARK THOMAS VERCEL (NPI# 1386902450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386902450 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS VERCEL |
| Credential | D.O. |
| Practice Address |
761 45th Ave Ste. 103 Munster IN 46321-2893 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 |
| Practice Telephone | 2199223002 |
| Practice Fax Number | 2199223003 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02004812A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | M47140248 | 01 |
| Street Address |
761 45TH AVE STE. 103 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982674867 | Munster Same Day Surgery | Clinic/Center | 761 45th Ave, Suite 116, Munster, IN 46321-2893 | 2006-01-24 |
| 1457892937 | Stacy Barajas | Nurse Practitioner | 761 45th Ave, Ste. 110, Munster, IN 46321-2893 | 2017-03-16 |
| 1366808131 | James M Carr | Registered Nurse | 761 45th Ave, Ste. 110, Munster, IN 46321-2893 | 2016-01-11 |
| 1578839627 | Syeda F Quadri | Internal Medicine | 761 45th Ave, 103, Munster, IN 46321-2899 | 2012-03-22 |
| 1134494131 | Deborah Cherrier | Dietitian, Registered | 761 45th Ave, Ste. 110, Munster, IN 46321-2893 | 2012-03-09 |
| 1013204197 | Hussein Bhikhapurwala | Student in an Organized Health Care Education/Training Program | 761 45th Ave, Suite 103, Munster, IN 46321-2899 | 2011-07-08 |
| 1477873693 | Olena G Hungerford | Internal Medicine | 761 45th Ave, Ste. 110, Munster, IN 46321-2893 | 2010-06-10 |
| 1255579876 | Tapan Apurva Desai | Internal Medicine | 761 45th Ave, Ste. 108, Munster, IN 46321-2893 | 2009-02-04 |
| 1053502435 | Ricardo Manuel Quezada | Internal Medicine | 761 45th Ave, Ste. 103, Munster, IN 46321-2893 | 2007-08-09 |
| 1023148939 | Thottathil Viswanathan Gopan | Internal Medicine | 761 45th Ave, Ste110, Munster, IN 46321-2893 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
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| 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 |
|---|---|---|---|---|
| 1801258561 | Neal Shah | Internal Medicine | 9307 Columbia Ave, Suite 2a, Munster, IN 46321 | 2016-03-22 |
| 1689030918 | Advanced Care Medical Specialists, P.C. | Internal Medicine | 10110 Donald S Powers Dr, Munster, IN 46321 | 2015-12-31 |
| 1841685724 | Joy Iskandar | Internal Medicine | 761 45th St Ste 103, Munster, IN 46321-2899 | 2015-03-30 |
| 1427467273 | Chantel Medical LLC | Internal Medicine | 9108 Columbia Ave Ste B, Munster, IN 46321-2907 | 2014-08-06 |
| 1346505443 | Sarena R Ravi-toellner | Internal Medicine | 761 45th St Ste 110, Munster, IN 46321-2899 | 2012-07-05 |
| 1275765174 | Sueyi Lai | Internal Medicine | 701 Superior Ave Fl 2500, Munster, IN 46321-4037 | 2009-08-11 |
| 1912136979 | Anoop Appannagari | Internal Medicine | 9030 Columbia Ave Ste B, Munster, IN 46321-2905 | 2009-07-10 |
| 1053549642 | Katherine Healy Vissers Finn | Internal Medicine | 761 45th Ave Ste 103, Munster, IN 46321-2899 | 2009-06-23 |
| 1073751244 | Symour Oberlander | Internal Medicine | 9226 Greenwood Ave., Munster, IN 46321 | 2009-01-27 |
| 1104082445 | Pratik Patel | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2008-08-06 |
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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.