TIMOTHY HERBERT PRAHLOW (NPI# 1538152434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152434 |
| Entity Type | Individual |
| Full Name | TIMOTHY HERBERT PRAHLOW |
| Credential | MD |
| Practice Address |
Porter Memorial Hospital 814 Laporte Ave Valparaiso IN 46383 |
| Mailing Address |
113 E 4th St Po Box 583 Michigan City IN 46360-3301 |
| Practice Telephone | 2194654678 |
| Practice Fax Number | 2194654722 |
| Mailing Telephone | 2198733130 |
| Mailing Fax Number | 2198733132 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01044539A | IN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CIGNA | 5535745002 | 01 |
| IN | CCN | 5229701 | 01 |
| IL | BCBS | 82428 | 01 |
| Street Address |
PORTER MEMORIAL HOSPITAL 814 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970603 | John Donald Feczko | Pathology | Porter Memorial Hospital, 814 Laporte Ave, Valparaiso, IN 46383 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848812 | Dean Harvey Lauer | Pathology | 2303 Throughwoods Dr, Valparaiso, IN 46385-7303 | 2008-07-17 |
| 1114912920 | Glyn Anne Porter | Pathology | 2901 Pepper Creek Bridge Pkwy, Valparaiso, IN 46385-7127 | 2005-09-19 |
| 1831182765 | Robert Brian Mcbride | Pathology | 814 Laporte Ave, Porter Memorial Hospital, Valparaiso, IN 46383-5860 | 2005-08-25 |
| 1346233236 | Jun Hu | Pathology | 814 Laporte Ave, Porter Memorial Hospital, Valparaiso, IN 46383-5860 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558125 | Nichole Landry Lepage | Pathology | 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 | 2017-06-21 |
| 1871904532 | Michael J Hwang | Pathology | 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 | 2014-05-15 |
| 1720405814 | Jared Cobb | Pathology | 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 | 2014-03-26 |
| 1629337522 | Christin Hweisi Tsao | Pathology | 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 | 2012-05-11 |
| 1275779027 | Rick Bains | Pathology | 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 | 2008-12-29 |
| 1164677423 | Phoenix Clinical Labs Inc | Pathology | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2008-11-28 |
| 1457502841 | Swarna S Sikdar | Pathology | 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 | 2008-10-04 |
| 1063612976 | Isabelle Ann Buehl | Pathology | 7994 West Road 75 North, Bargersville, IN 46106-9518 | 2007-07-19 |
| 1639378250 | Christopher Michael Carter | Pathology | 601 W 2nd St Rm 216, Bloomington, IN 47403 | 2007-07-13 |
| 1598963696 | Xiaolin Wu | Pathology | Iu Health Pathology Laboratory, 350 N. 11th Street, Hematopathology, Indianapolis, IN 46202 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.