DR. ANDY R DILLINGHAM (NPI# 1558531665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558531665 |
| Entity Type | Individual |
| Full Name | DR. ANDY R DILLINGHAM |
| Credential | DO |
| Practice Address |
11725 N Illinois Street Ll050 Carmel IN 46032-3008 |
| Mailing Address |
250 N Shadeland Ave Suite 130- Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3176885626 |
| Practice Fax Number | 3176885627 |
| Mailing Telephone | 3179623125 |
| Mailing Fax Number | 3179626714 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02003103A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200900710 | 05 | |
| TRICARE | 351747218105 | 01 |
| Street Address |
11725 N ILLINOIS STREET LL050 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444226 | William L F Harvey | Internal Medicine | 11725 N Illinois Street, Suite 465, Carmel, IN 46032-3010 | 2005-08-11 |
| 1336396233 | Paula Haffley | Physician Assistant | 11725 N Illinois Street, Suite 350, Carmel, IN 46032-3009 | 2008-08-21 |
| 1659533602 | Sallie Seymour Hahn | Obstetrics & Gynecology | 11725 N Illinois Street, Suite 595, Carmel, IN 46032-3011 | 2008-07-01 |
| 1316114770 | Larissa C Day Walz | Internal Medicine | 11725 N Illinois Street, Suite 595, Carmel, IN 46032-0052 | 2008-05-14 |
| 1932307758 | Kandice K Ludwig | Surgery | 11725 N Illinois Street, Suite 545, Carmel, IN 46032-3014 | 2007-07-03 |
| 1093751786 | Yvonne Marie Kieffer | Nurse Practitioner | 11725 N Illinois Street, Suite 275, Carmel, IN 46032-3009 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1609241306 | Everest Center for Mens Health Pllc | Family Medicine | 13528 Brentwood Ln, Carmel, IN 46033-9488 | 2015-12-07 |
| 1831469873 | Russell Evan Hoxie | Family Medicine | 193 San Remo Rd, Carmel, CA 93923-9764 | 2012-01-09 |
| 1760764245 | Home Physicians 2011,pc | Family Medicine | 11595 N Meridian St Ste 600, Carmel, IN 46032-6969 | 2011-09-12 |
| 1841507605 | John Edward Humiston | Family Medicine | 12265 Hancock St Ste 42, Carmel, IN 46032-5892 | 2010-08-31 |
| 1740509702 | Edgar Kourany | Family Medicine | 12940 Brighton Ln, Carmel, IN 46032 | 2010-05-28 |
| 1710121371 | Sarah Christine Lackermann | Family Medicine | 11725 N Illinois St Ste 595, Carmel, IN 46032-3011 | 2009-04-27 |
| 1508030289 | Bree Eiden Simmons | Family Medicine | 14455 Clay Terrace Blvd # B, Carmel, IN 46032-3605 | 2008-04-15 |
| 1528267044 | Hari Prasanna Chakravorty | Family Medicine | 166 Crane Rd, Carmel, NY 10512-4070 | 2007-07-14 |
| Find all providers in CARMEL | ||||
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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.