PATRICK DANIEL REIBOLD (NPI# 1417928367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417928367 |
| Entity Type | Individual |
| Full Name | PATRICK DANIEL REIBOLD |
| Credential | MD |
| Practice Address |
1185 W Carmel Dr Ste D3 Carmel IN 46032-8708 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3172490990 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01042143 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200476110I | 05 | |
| IN | AETNA REFERRAL NUMBER | 4455269 | 01 |
| IN | ANTHEM | 000000091276 | 01 |
| IN | DEPT OF LABOR | 129480500 | 01 |
| IN | RR MEDICARE | 130014906 | 01 |
| IN | 200014330A | 05 |
| Street Address |
1185 W CARMEL DR STE D3 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891766739 | Theodore Alexander Nukes | Psychiatry & Neurology | 1185 W Carmel Dr Ste D3, Carmel, IN 46032-8708 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1538473426 | Stephen Joseph Peroutka | Psychiatry & Neurology | 26339 Valley View Ave, Carmel, CA 93923-9102 | 2010-08-03 |
| 1184739757 | Alejandro Francisco Centurion | Psychiatry & Neurology | 100 Clock Tower Place, Suite 225, Carmel, CA 93923 | 2006-08-21 |
| 1306850722 | Jerry W Smartt Jr. | Psychiatry & Neurology | 9640 Commerce Dr, Suite 412, Carmel, IN 46032-7640 | 2006-07-28 |
| 1750353561 | Paul Magda | Psychiatry & Neurology | 670 Stoneleigh Ave., Bldg. 665, Suite 202, Carmel, NY 10512-3997 | 2006-02-06 |
| 1891766739 | Theodore Alexander Nukes | Psychiatry & Neurology | 1185 W Carmel Dr Ste D3, Carmel, IN 46032-8708 | 2006-01-30 |
| 1851384002 | Suzanne Brown | Psychiatry & Neurology | 665 Stoneleigh Ave # 202, Carmel, NY 10512-4625 | 2005-08-23 |
| 1447254016 | Katherine T Kobza | Psychiatry & Neurology | 12188a N Meridian St Ste 320, Carmel, IN 46032-4407 | 2005-06-10 |
| 1124512983 | Ginte Jasulaitis | Psychiatry & Neurology | 26350 Carmel Rancho Ln Ste 200, Carmel, CA 93923-8797 | 2018-06-15 |
| 1104344340 | Health Quest Medical Practice, PC | Psychiatry & Neurology | 150 Route 52, Carmel, NY 10512-1200 | 2017-09-08 |
| Find all providers in CARMEL | ||||
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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.