MRS. SARAH ANN HOLEWCZYNSKI


Address: 621 Memorial Dr, Ste 617, South Bend, IN 46601-1063
Phone: 5746477128

MRS. SARAH ANN HOLEWCZYNSKI (NPI# 1619388717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619388717
Entity Type Individual
Full Name MRS. SARAH ANN HOLEWCZYNSKI
Other Name MISS SARAH ANN MONROE
Credential RN, NP-C
Practice Address 621 Memorial Dr
Ste 617
South Bend
IN 46601-1063
Mailing Address 710 N Niles Ave
South Bend
IN 46617-1924
Practice Telephone 5746477128
Practice Fax Number 5746473449
Mailing Telephone 5746471610
Mailing Fax Number 5742376069
Enumeration Date 2014-05-12
Last Update Date 2019-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28162854A IN Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71004961A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201244610 05

Office Location

Street Address 621 MEMORIAL DR
STE 617
City SOUTH BEND
State IN
Zip Code 46601-1063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003818212 John L Jenkins Specialist 621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 2005-06-01
1447783188 Khonnah Weithers Nurse Practitioner 621 Memorial Dr, Suite 512, South Bend, IN 46601-1063 2017-04-10
1518302264 Beacon Medical Group, Inc. Nurse Practitioner 621 Memorial Dr, Suite 602, South Bend, IN 46601-1063 2013-05-08
1255620985 David L. Clayton Md Inc Family Medicine 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 2011-04-04
1477873644 Rebecca M Castro Nurse Practitioner 621 Memorial Dr, Ste 502, South Bend, IN 46601-1063 2010-06-10
1508191768 Allied Physicians of Michiana, LLC Surgery 621 Memorial Dr, Suite 302, South Bend, IN 46601-1063 2009-10-06
1841434354 Kelly Elizabeth Mortell Radiology 621 Memorial Dr, Ste 312, South Bend, IN 46601-1063 2009-04-28
1659543643 William Hanley Nurse Practitioner 621 Memorial Dr, Suite 502, South Bend, IN 46601-1063 2008-03-31
1134262595 North Central Neurology, LLC Psychiatry & Neurology 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 2007-02-15
1619015534 Beacon Medical Group, Inc. Specialist 621 Memorial Dr, Suite 502, South Bend, IN 46601-1063 2007-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447610449 David Thomas Hearing Instrument Specialist 808 S Michigan St., South Bend, IN 46601 2016-03-03
1285072454 Kevin Francis Cumper Internal Medicine 621 Memorial Dr Ste 624, South Bend, IN 46601 2013-06-11
1952605560 Robert Lusk Bonham Dentist 1222 L.w.e., So. Bend, IN 46601 2010-12-23
1649580911 Daniel Scott Debrule Psychologist 211 W. Washington Street, Suite 2311, South Bend, IN 46601 2010-10-20
1528390770 Luke Alfred White Internal Medicine 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 2010-02-12
1548497837 Tmg Home Health Care Home Health 108 N Main St #305, South Bend, IN 46601 2009-06-15
1225283039 Jody L. Hughes Counselor 202 S. Michigan Street, Suite 875, South Bend, IN 46601 2008-11-20
1740432574 Amanda Jayne Quicksall Social Worker 611 Lincolnway W, South Bend, IN 46601 2008-10-10
1952565772 Thomas P Judd Dentist 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 2008-07-10
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083262992 Francesca E Udoh Nurse Practitioner 51875 Whitestable Ln, South Bend, IN 46637-1371 2019-09-04
1760721807 William John Fox Nurse Practitioner 333 W Western Ave, South Bend, IN 46601-2215 2013-02-09
1922290790 Laura Myers Hieronymus Nurse Practitioner 1700 Mishawaka Ave, Student Activity Center Rm 130, South Bend, IN 46634-7111 2007-08-15
1740296516 Freda Ann Black Nurse Practitioner 112 W Jefferson Blvd, South Bend, IN 46601-1923 2006-07-31
1447721105 Daniela M Edson Nurse Practitioner 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 2018-12-06
1265810584 Tara Pousson Nurse Practitioner 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1923 2015-05-07
1447669304 Ludmila Pichugena-emerson Nurse Practitioner 211 N Eddy St., South Bend, IN 46617-3096 2014-08-05
1033520101 Oluyinka Grace Osunnuga Nurse Practitioner 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 2014-05-12
1972913804 Toni Brown Nurse Practitioner 333 W Western Ave, South Bend, IN 46601-2215 2014-04-30
1518302264 Beacon Medical Group, Inc. Nurse Practitioner 621 Memorial Dr, Suite 602, South Bend, IN 46601-1063 2013-05-08
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46601

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Dataset Information

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.

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