EDWARD D ZDOBYLAK (NPI# 1558384545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558384545 |
| Entity Type | Individual |
| Full Name | EDWARD D ZDOBYLAK |
| Credential | M.D. |
| Practice Address |
110 E. 13th Street Rushville IN 46173 |
| Mailing Address |
1300 N Main Street Rushville IN 46173 |
| Practice Telephone | 7659327063 |
| Practice Fax Number | 7659327065 |
| Mailing Telephone | 7659324111 |
| Mailing Fax Number | 3175766311 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01051068A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200377800 | 05 | |
| IN | ANTHEM LEGACY # | 000000939921 | 01 |
| Street Address |
110 E. 13TH STREET |
| City | RUSHVILLE |
| State | IN |
| Zip Code | 46173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498343 | Gregory Edmund Hyde | Otolaryngology | 110 E. 13th Street, Rushville, IN 46173 | 2005-12-19 |
| 1639550759 | Jonathan Lesar | Podiatrist | 110 E. 13th Street, Rushville, IN 46173-1116 | 2015-06-15 |
| 1043281470 | Jeffrey Romont Ginther | Orthopaedic Surgery | 110 E. 13th Street, Rushville, IN 46173-1116 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267969 | Teodora Manlangit Ordas | Physical Therapist | 1201 Smith Drive, Rushville, IN 46173 | 2017-07-14 |
| 1831394758 | Ryan S White | Family Medicine | 1300 N. Main Street, Rushville, IN 46173 | 2007-06-20 |
| 1245371715 | John Wayne Gasser | Marriage & Family Therapist | 218 North Perkins Ave, Rushville, IN 46173 | 2007-02-09 |
| 1174534887 | Orthopaedic Surgical Care Institute | Orthopaedic Surgery | 1300 North Main Street, Rushville, IN 46173 | 2006-08-10 |
| 1295775161 | Darin Wade Wallace | Chiropractor | 1520 North Main Street, Rushville, IN 46173 | 2006-06-07 |
| 1891755286 | Kurt Leon Jacobs | Family Medicine | 807 S St Rd 3, Rushville, IN 46173 | 2006-03-28 |
| 1396736054 | Jitendra M Amin | Family Medicine | 725 N Spencer St, Rushville, IN 46173 | 2005-11-02 |
| 1669960845 | Cheryl L Turner-romans | Social Worker | 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 | 2018-04-24 |
| 1982971016 | Teresa D Geis | Registered Nurse | 1300 N Main Street, Rushville, IN 46173 | 2011-11-17 |
| 1811141930 | Southeastern Indiana Dialysis LLC | Clinic/Center | 1400 N Cherry St, Rushville, IN 46173-1097 | 2008-11-17 |
| Find all providers in zip 46173 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
| 1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
| 1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
| 1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
| 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.