DAVID DESANTIS (NPI# 1467447748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467447748 |
| Entity Type | Individual |
| Full Name | DAVID DESANTIS |
| Credential | M.D., PH.D |
| Practice Address |
1350 Chester Blvd Ste D Richmond IN 47374-1960 |
| Mailing Address |
1100 Reid Pkwy Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 7659358860 |
| Practice Fax Number | 7659355589 |
| Mailing Telephone | 7659358860 |
| Mailing Fax Number | 7659358859 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35.065370 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01044050 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR | 110144521 | 01 |
| IN | MEDICARE RR | P00875846 | 01 |
| IN | ANTHEM | 000000681665 | 01 |
| OH | 0943797 | 05 | |
| IN | 200043690A | 05 | |
| IN | CSHCS | DEC36280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568514628 | David Paul Desantis | Chiropractor | 7747 South Ave, Boardman, OH 44512-5726 | 2007-01-17 |
| Street Address |
1350 CHESTER BLVD STE D |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326108 | Stephanie L Geeting | Nurse Practitioner | 1350 Chester Blvd Ste D, Richmond, IN 47374-1960 | 2020-11-05 |
| 1497158109 | Geneva Dillon | Nurse Practitioner | 1350 Chester Blvd Ste D, Richmond, IN 47374-1960 | 2014-10-08 |
| 1982834370 | Brenda Lee Carr-vogelgesang | Registered Nurse | 1350 Chester Blvd Ste D, Richmond, IN 47374-1960 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1518590611 | Titilayo Oluwakemi Akinpelu | Family Medicine | 19710 Terrace Cliff Ct, Richmond, TX 77407-1920 | 2020-02-17 |
| 1154977742 | Lesley Chanell Lagrue | Family Medicine | 9114 Andes Ridge Ln, Richmond, TX 77407-1692 | 2019-08-10 |
| 1285291898 | Np Care LLC | Family Medicine | 1618 Pope Ave, Richmond, VA 23227-3754 | 2019-05-20 |
| 1639653025 | Ruchita S Patel Md Pllc | Family Medicine | 19303 Mission Cove Ln, Richmond, TX 77407-2559 | 2018-09-20 |
| 1548777915 | Kudirat Folorunsho Sunmonu | Family Medicine | 6930 Chapel Meadow Ln, Richmond, TX 77407-3833 | 2018-01-05 |
| 1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
| 1255862926 | Andrew Lyell | Family Medicine | 3204 Parkwood Ave, Richmond, VA 23221-3421 | 2017-03-24 |
| 1255782546 | Clarkson Health LLC | Family Medicine | 4821 Old National Rd E, Suite A, Richmond, IN 47374-2651 | 2016-06-28 |
| 1326498650 | Emily Nicole Lynch | Family Medicine | 3591 Dorothy Ln, Richmond, IN 47374-6749 | 2016-06-17 |
| Find all providers in RICHMOND | ||||
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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.