DR. MARK P SCHMELTZ (NPI# 1487653408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653408 |
| Entity Type | Individual |
| Full Name | DR. MARK P SCHMELTZ |
| Credential | D.O. |
| Practice Address |
12340 Bittersweet Commons Blvd. West Granger IN 45630-6959 |
| Mailing Address |
710 N. Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742718610 |
| Practice Fax Number | 5742718620 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02002103A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200243660 | 05 | |
| IN | MEDICARE PTAN | 236040033 | 01 |
| Street Address |
12340 BITTERSWEET COMMONS BLVD. WEST |
| City | GRANGER |
| State | IN |
| Zip Code | 45630-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972791887 | Don Smith | Registered Nurse | 12861 Lori Lee Lane, Friendship, OH 45630 | 2007-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
| 1730788365 | Katherine Mavis Greene | Speech-Language Pathologist | 14234 Shoreline Dr, Granger, IN 46530-4849 | 2020-10-24 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1538776604 | Tonya Darlene Ross | Occupational Therapy Assistant | 11312 Anderson Lake Dr, Granger, IN 46530-7293 | 2020-09-23 |
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1780295956 | Danielle Brown | Physician Assistant | 10380 Adams Rd, Granger, IN 46530-8608 | 2020-08-12 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1588286132 | Amanda Lynn Ponce De Leon | Physical Therapist | 12171 Covered Wagon Ct, Granger, IN 46530-7100 | 2020-05-16 |
| Find all providers in GRANGER | ||||
| 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 |
|---|---|---|---|---|
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1902137060 | Candace Corson | Family Medicine | 16641 Brick Rd, Granger, IN 46530-8518 | 2010-01-28 |
| 1376737387 | Shelley A. Morris | Family Medicine | 12340 Bittersweet Commons Blvd W, Granger, IN 46530-6959 | 2007-09-03 |
| 1083822993 | Michael Dennison Conroy | Family Medicine | 16205 Baywood Ln, Granger, IN 46530-7896 | 2007-05-21 |
| 1518180512 | Smita V Patel | Family Medicine | 922 East University Drive, Granger, IN 46530-4466 | 2007-04-10 |
| 1861418394 | Julie M Ortega-schmitt | Family Medicine | 15015 Sr 23, Unit 3, Granger, IN 46530 | 2006-07-15 |
| 1437149952 | Matthew E Christ | Family Medicine | 12563 State Road 23, Granger, IN 46530-9226 | 2005-10-26 |
| 1962401091 | Cynthia Lynn Pascual | Family Medicine | 6913 N Main St Ste 300, Granger, IN 46530-8039 | 2005-07-20 |
| 1437152394 | Lori L. Checkley | Family Medicine | 6913 N Main St, Granger, IN 46530-8039 | 2005-05-24 |
| 1336673037 | Johnny Lee Gerardot Jr. | Family Medicine | 6913 N Main St Ste 300, Granger, IN 46530-8039 | 2017-04-19 |
| Find all providers in GRANGER | ||||
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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.