DR. IOANNIS DIMITRIOS XENIDIS (NPI# 1497822480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497822480 |
| Entity Type | Individual |
| Full Name | DR. IOANNIS DIMITRIOS XENIDIS |
| Credential | D.O. |
| Practice Address |
2150 Gettler St Ste 400 Dyer IN 46311 |
| Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2198650893 |
| Practice Fax Number | 2198653599 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
02003211A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200974840 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Joliet St, Suite 401, Dyer, IN 463111705 | 2198650893 | 2198653599 |
| Street Address |
2150 GETTLER ST STE 400 |
| City | DYER |
| State | IN |
| Zip Code | 46311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073366 | Mateo Guanzon | Surgery | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-06-17 |
| 1902447311 | Alyssa Marie Borkowski | Nurse Practitioner | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2019-10-07 |
| 1265552756 | Mark A Mitchell | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311 | 2007-03-30 |
| 1083699193 | C Richard Smith | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-12 |
| 1598740748 | Michael A Nicholas | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-09 |
| 1124002738 | Stephanie D Marshall | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-06 |
| 1598746083 | John D Andress | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1194763375 | Jagdish Patel | Internal Medicine | 2150 Gettler St Ste 455, Dyer, IN 46311 | 2006-06-02 |
| 1760460232 | David Bruce Braunstein | Internal Medicine | 24 Joliet Street, Suite 401, Dyer, IN 46311 | 2006-01-05 |
| 1770568362 | Kenneth J Ramsey | Internal Medicine | 16000 W 101st Ave, Dyer, IN 46311-3046 | 2005-12-07 |
| 1265552756 | Mark A Mitchell | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311 | 2007-03-30 |
| 1457438848 | Illiana Cardiovascular Consultants, LLC | Internal Medicine | 2150 Gettler St Ste 455, Dyer, IN 46311 | 2006-11-01 |
| 1598740748 | Michael A Nicholas | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-09 |
| 1124002738 | Stephanie D Marshall | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-12-06 |
| 1558345165 | Theresa M Matzura | Internal Medicine | 24 Joliet St, Suite 401, Dyer, IN 46311-1705 | 2005-12-06 |
| 1598746083 | John D Andress | Internal Medicine | 2150 Gettler St Ste 400, Dyer, IN 46311-2385 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1689228587 | Milton Lethan Pressler | Internal Medicine | 1243 Skytag Dr, Carmel, IN 46032-6301 | 2019-07-29 |
| 1790231926 | Perry County Cardiology LLC | Internal Medicine | 8735 State Road 37, Suite B, Tell City, IN 47586-8349 | 2016-08-28 |
| 1164887329 | Heart and Vascular Center, LLC | Internal Medicine | 604 Cambridge Ct, 1b, Munster, IN 46321-2458 | 2015-12-15 |
| 1487061131 | Beacon Medical Group, Inc. | Internal Medicine | 2400 N Ventura Way, Lagrange, IN 46761-4101 | 2014-07-15 |
| 1174939003 | Hassan Majed Mostafa | Internal Medicine | 13100 E 136th St Ste 3000, Fishers, IN 46037-9817 | 2014-07-11 |
| 1619306222 | Cardiology Associates of Nw Indiana, PC | Internal Medicine | 10010 Don Powers Dr, Munster, IN 46321-4054 | 2013-11-04 |
| 1487996450 | Richard Bruce Wenzler | Internal Medicine | 875 Sugarbush Rdg, Zionsville, IN 46077-1911 | 2013-03-18 |
| 1164774816 | Jeffrey Scott Riesmeyer | Internal Medicine | 10582 Brooks School Rd, Fishers, IN 46037-9720 | 2012-10-04 |
| 1124381751 | Robert W Godley II | Internal Medicine | Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 | 2012-06-19 |
| Find all providers with the same taxonomy | ||||
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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.