SOUTH CENTRAL INDIANA RADIOLOGY CONSULTANTS, P.C. (NPI# 1578698833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578698833 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL INDIANA RADIOLOGY CONSULTANTS, P.C. |
| Practice Address |
303 S Walnut St Suite 201 Seymour IN 47274-2368 |
| Practice Telephone | 8125231140 |
| Practice Fax Number | 8125230991 |
| Mailing Telephone | 8125231140 |
| Mailing Fax Number | 8125230991 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NEIL E STAIB JR. (CEO PRESIDENT) |
| Authorized Official Telephone | 8125231140 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 50001660 | IN | Other Service Providers |
| Street Address |
303 S WALNUT ST SUITE 201 |
| City | SEYMOUR |
| State | IN |
| Zip Code | 47274-2368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831550987 | Ngozi Igboko | Nurse Practitioner | 303 S Walnut St, Seymour, IN 47274-2368 | 2016-03-17 |
| 1659796225 | Forefront Dermatology, S.c. | Dermatology | 303 S Walnut St, Seymour, IN 47274 | 2014-02-19 |
| 1396167300 | Jacqueline Sutton | Nurse Practitioner | 303 S Walnut St, Seymour, IN 47274-2368 | 2014-01-09 |
| 1710316062 | Victoria Bates | Physician Assistant | 303 S Walnut St, Seymour, IN 47274-2368 | 2013-11-07 |
| 1427216365 | Advanced Dermatology and Cosmetic Surgery LLC | Dermatology | 303 S Walnut St, Seymour, IN 47274-2368 | 2008-05-28 |
| 1417132911 | Kevin Michael Crawford | Dermatology | 303 S Walnut St, Seymour, IN 47274-2368 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850102 | Alyssa Gorbett | Counselor | 320 Bruce St. Suite C, Seymour, IN 47274 | 2020-10-30 |
| 1871123562 | Kathy Jo Passereni | Pharmacist | 1541 Tipton St, Seymour, IN 47274 | 2020-01-22 |
| 1750886966 | Cassie Hackman | Registered Nurse | 6940 E County Road 50 N, Seymour, IN 47274 | 2018-03-28 |
| 1710327994 | Derek L Garcia | Dentist | 321 W Bruce St Ste A, Seymour, IN 47274 | 2013-07-02 |
| 1922349596 | Lisa Marie Lindsay Snow | Pediatrics | Schneck Pediatrics, 411 West Tipton Street, Seymour, IN 47274 | 2013-03-07 |
| 1750670733 | David Ryan Stone | Internal Medicine | 411 West Tipton Street, Seymour, IN 47274 | 2011-03-30 |
| 1518261254 | Peggy Jo Bowman | Social Worker | 1725 E. Tipton St., Ste 200, Seymour, IN 47274 | 2011-01-10 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1346564390 | Emanuel Eugene Nearing II | Surgery | Schneck Surgical Associates, 411 West Tipton Street, Seymour, IN 47274 | 2010-03-19 |
| 1821320870 | Holly Lee Berry | Nurse Practitioner | 120 St. Louis Ave., Seymour, IN 47274 | 2010-02-02 |
| Find all providers in zip 47274 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700228764 | Jammie Lee Vergiesen | Specialist | 725 Woodland Plz, Seymour, WI 54165-1660 | 2013-07-19 |
| 1508287707 | Jeffrey E. Schulz, M.d, P.C. | Specialist | 1020 W 2nd St, Seymour, IN 47274-2760 | 2013-12-16 |
| 1922285212 | The Pain Medicine & Rehabilitation Center, Inc | Specialist | 1425 Corporate Way, Seymour, IN 47274-3391 | 2008-01-29 |
| 1134316243 | Pain Center of Southeast Indiana | Specialist | 1425 Corporate Way, Seymour, IN 47274-3391 | 2007-10-02 |
| 1407862238 | Maria F Rueda Md Pllc | Specialist | 11546 Chapman Hwy, Seymour, TN 37865-5044 | 2006-08-01 |
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| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 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.