CONNOR GEMLICK (NPI# 1619589546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619589546 |
| Entity Type | Individual |
| Full Name | CONNOR GEMLICK |
| Practice Address |
1918 Carew St. Fort Wayne IN 46805 |
| Mailing Address |
308 Twin Eagles Blvd E Huntertown IN 46748-9237 |
| Practice Telephone | 2606654100 |
| Mailing Telephone | 2604949217 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1918 CAREW ST. |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| 1174706691 | Valerie J Rumple | Registered Nurse | 1909 Carew St, Fort Wayne, IN 46805 | 2007-12-06 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1790394146 | Katie Patterson | Student in an Organized Health Care Education/Training Program | 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 | 2020-07-30 |
| 1891304689 | Alexi Nicole Seely | Student in an Organized Health Care Education/Training Program | 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 | 2020-07-28 |
| 1659980365 | Laura Kraft | Student in an Organized Health Care Education/Training Program | 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 | 2020-07-28 |
| 1073145983 | Caelan Williams | Student in an Organized Health Care Education/Training Program | 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 | 2020-02-08 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1700440641 | Mary Danny Dickow | Student in an Organized Health Care Education/Training Program | 1804 Cymbeline Ct, Fort Wayne, IN 46818-9265 | 2019-04-25 |
| 1477086189 | Yogesh Jonna | Student in an Organized Health Care Education/Training Program | 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 | 2017-04-10 |
| 1922547702 | Zin Than | Student in an Organized Health Care Education/Training Program | 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 | 2017-02-14 |
| 1639616329 | Thomas Coleman | Student in an Organized Health Care Education/Training Program | 6110 Sapphire Trl, Fort Wayne, IN 46804-6290 | 2017-01-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on CONNOR GEMLICK.
| 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.