DAVID A TABER (NPI# 1659375145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659375145 |
| Entity Type | Individual |
| Full Name | DAVID A TABER |
| Credential | M.D. |
| Practice Address |
5340 Holy Cross Pkwy Mishawaka IN 46545-1470 |
| Mailing Address |
100 E Wayne St Ste 510 South Bend IN 46601-2349 |
| Practice Telephone | 5742371328 |
| Practice Fax Number | 5742371348 |
| Mailing Telephone | 5743345390 |
| Mailing Fax Number | 5743345368 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01037563A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
01037563A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100091150A | 05 | |
| MI | 4827472 | 05 | |
| IN | ANTHEM-BCBS | 000000086655 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851546105 | David Richard Taber | Pharmacist | 5050 E Grant Rd, Tucson, AZ 85712-2709 | 2008-11-28 |
| 1093712101 | David J Taber | Pharmacist | Musc Division of Transplant Surgery, 96 Jonathan Lucas St; Csb 409, Charleston, SC 29425-0001 | 2005-07-05 |
| 1013438910 | David Taber | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2017-06-29 |
| 1437280435 | David Earl Taber | Dentist | 51 E 4th St, Suite 300, Winona, MN 55987-3507 | 2007-03-08 |
| 1740377845 | David Taber | Radiology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1689621625 | David Owen Taber | Urology | 2201 N Stanton St, El Paso, TX 79902-3211 | 2006-05-27 |
| Street Address |
5340 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970183 | Michiana Hematology-oncology, P.C. | Non-Pharmacy Dispensing Site | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-05-27 |
| 1740646348 | Renata Robertson | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2016-01-12 |
| 1558762476 | Kenlyn Marie Laureys | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2014-09-10 |
| 1730425604 | Beth Johanna Mondschein | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2012-12-21 |
| 1023370103 | Frances Denean Stapleton | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545 | 2012-06-13 |
| 1487885679 | Jennifer C Ewing | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2009-08-05 |
| 1750511218 | Mufti Ahmad | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2009-07-19 |
| 1649446444 | Rashid Khan | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2008-05-01 |
| 1326231689 | Sheila M Fleming | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545 | 2007-08-21 |
| 1255549812 | Hubert Fornalik | Obstetrics & Gynecology | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750511218 | Mufti Ahmad | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2009-07-19 |
| 1134357213 | Sayuri Cheruvu | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133555 | Horizon Medical Group, Inc | Internal Medicine | 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 | 2017-09-28 |
| 1346515665 | Coleman Obasaju | Internal Medicine | 12098 Ashcroft Pl, Carmel, IN 46032-8901 | 2012-03-20 |
| 1780918987 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 | 2009-09-22 |
| 1902038060 | Waldo I Ortuzar | Internal Medicine | 13869 Kickapoo Tr., Carmel, IN 46033-8545 | 2009-08-21 |
| 1558562371 | Cecilia Choi | Internal Medicine | 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 | 2007-05-30 |
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1275597650 | William S Kamanda | Internal Medicine | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-04-13 |
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1982685533 | Rathipriya Mahendran | Internal Medicine | 831 Theatre Drive, Marion, IN 46952-4470 | 2005-11-10 |
| 1750372819 | Robert J Steele | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2005-10-28 |
| 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.