DR. EDWIN LARYEA ANNAN (NPI# 1528245040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528245040 |
| Entity Type | Individual |
| Full Name | DR. EDWIN LARYEA ANNAN |
| Credential | MD |
| Practice Address |
500 Arcade Ave Suite 210 Elkhart IN 46514-2477 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5743895656 |
| Practice Fax Number | 5745237891 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2017-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01071846A | IN | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01071846A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01071846A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201120700 | 05 |
| Street Address |
500 ARCADE AVE SUITE 210 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042102 | Gurudutt B. Kulkarni | Internal Medicine | 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 | 2005-06-09 |
| 1215243704 | Jill J Newcomer | Nurse Practitioner | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2010-08-23 |
| 1144464850 | Heather Kistka | Neurological Surgery | 500 Arcade Ave, Suite 200, Elkhart, IN 46514-2477 | 2009-04-24 |
| 1679717771 | Troy A Weirick | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2009-04-21 |
| 1235384744 | Craig E. Meyer, M.d., F.a.c.s. | Clinic/Center | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-11-25 |
| 1447406426 | Thomas P. Moretti | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2008-08-11 |
| 1073771820 | Joseph B. Schnittker, Md, PC | Neurological Surgery | 500 Arcade Ave, Suite 110, Elkhart, IN 46514-2477 | 2008-05-29 |
| 1649450164 | Keely N Anthony | Occupational Therapy Assistant | 500 Arcade Ave, Suite 300, Elkhart, IN 46514-2477 | 2007-11-13 |
| 1801921325 | Vijay A. Mehta | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2007-02-23 |
| 1942349345 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 500 Arcade Ave, Suite 240, Elkhart, IN 46514-2477 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1396748273 | Ayodeji O. Harris-eze | Internal Medicine | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
| 1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
| 1134464209 | Sneeze & Snooze Clinic, P C. | Internal Medicine | 2417 S. Berkshire Dr., Gashen, IN 46526-6815 | 2012-11-30 |
| 1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
| 1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
| 1497923486 | Medical Clinics of America | Internal Medicine | 1402 173rd St, Hammond, IN 46324-2861 | 2008-02-13 |
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
| 1972675189 | Chest & Sleep Consultants | Internal Medicine | 952 S State Road 2, Valparaiso, IN 46385-6322 | 2006-11-14 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
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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.