REDIMED DEKALB LLC (NPI# 1669417457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669417457 |
| Entity Type | Organization |
| Organization Name | REDIMED DEKALB LLC |
| Practice Address |
253 N Grandstaff Dr Auburn IN 46706-1668 |
| Practice Telephone | 2609259511 |
| Mailing Telephone | 2609259511 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467549725 | Redimed Dekalb LLC | Physical Therapist | 1316 E. 7th St, Auburn, IN 46706-2523 | 2006-10-06 |
| Street Address |
253 N GRANDSTAFF DR |
| City | AUBURN |
| State | IN |
| Zip Code | 46706-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
| 1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
| 1902267057 | Crystal Nicole Kennedy | Nurse Practitioner | 1306 E 7th St#c, Auburn, IN 46706 | 2016-03-17 |
| 1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
| 1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
| 1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
| 1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
| 1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
| Find all providers in zip 46706 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376296 | American Family Care, Inc. | General Practice | 1902 South College Street, Auburn, AL 36830-6615 | 2013-11-01 |
| 1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
| 1962606046 | Patrick J Buttarazzi | General Practice | 8 Hidden Brook Way, Auburn, NY 13021 | 2007-06-13 |
| 1427278001 | Auburn Family Medical Center, Inc., P.s. | General Practice | 202 N Division St # 2, Ste 405, Auburn, WA 98001-4939 | 2007-04-26 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1053303461 | Mark A Vaughan | General Practice | 3256 Professional Dr, Auburn, CA 95602-2412 | 2005-08-22 |
| 1104459411 | Medical Center Plus LLC | General Practice | 1685 E University Dr Ste E, Auburn, AL 36830-5217 | 2020-02-14 |
| 1770701104 | William D. Goudy D.o., PC | General Practice | 1306 E 7th St, Suite B, Auburn, IN 46706-2537 | 2007-04-23 |
| 1184754251 | Chun Yih Yang | General Practice | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2007-03-06 |
| 1720192560 | Auburn Medical Group, Inc | General Practice | 3280 Professional Dr, Auburn, CA 95602-2412 | 2006-08-18 |
| Find all providers in AUBURN | ||||
Please comment or provide details below to improve the information on REDIMED DEKALB LLC.
| 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.