DR. ILANA TAMIR KIRSCH (NPI# 1508857806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508857806 |
| Entity Type | Individual |
| Full Name | DR. ILANA TAMIR KIRSCH |
| Credential | M.D. |
| Practice Address |
6301 University Commons Ste 210 South Bend IN 46635 |
| Mailing Address |
6301 University Commons Ste 210 South Bend IN 46635-1590 |
| Practice Telephone | 5742344016 |
| Practice Fax Number | 5742394607 |
| Mailing Telephone | 5742344016 |
| Mailing Fax Number | 5742394607 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01054274A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | M40061771 | 01 |
| IN | 200349210 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Navarre Pl, Ste. 4470, South Bend, IN 466011156 | 5746471300 | 5746471305 |
| Street Address |
6301 UNIVERSITY COMMONS STE 210 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788284 | Peri R Stangas | Family Medicine | 6301 University Commons Ste 210, South Bend, IN 46635-1590 | 2018-11-06 |
| 1760671044 | Zachary Aaron-francis Kistka | Internal Medicine | 6301 University Commons Ste 210, South Bend, IN 46635-1590 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714549 | Zhiquan Zhao | Obstetrics & Gynecology | 6301 University Commons Ste 310, Ob/gyn Office, South Bend, IN 46635-1479 | 2007-05-30 |
| 1669424792 | Christopher S Norborg | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-05-17 |
| 1598739492 | Elaine Marie Carroll | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601 | 2006-02-15 |
| 1174503866 | Ted M. Roth | Obstetrics & Gynecology | 621 Memorial Dr Ste 302, South Bend, IN 46601-1073 | 2006-01-19 |
| 1477903391 | Mackenzie Austgen | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2016-06-22 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1386063345 | Erin Hendricks Krizman | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635 | 2014-04-07 |
| 1043654361 | Sara A Baumgartner | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635-1479 | 2013-04-18 |
| 1164764890 | Jessica Marie Basham | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2013-03-20 |
| 1588916258 | Allied Physicians of Michiana, LLC | Obstetrics & Gynecology | 6301 University Commons, Suite 230, South Bend, IN 46635-1571 | 2012-10-05 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
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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.