TABATHA NORTH (NPI# 1689280356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689280356 |
Entity Type | Individual |
Full Name | TABATHA NORTH |
Practice Address |
11104 Parkview Circle Dr Ste 310 Fort Wayne IN 46845-1733 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 2602665230 |
Mailing Telephone | 2602661401 |
Mailing Fax Number | 2604585734 |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
28233505A | IN | Nursing Service Providers |
Street Address |
11104 PARKVIEW CIRCLE DR STE 310 |
City | FORT WAYNE |
State | IN |
Zip Code | 46845-1733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285633552 | Leor David Roubein | Internal Medicine | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 | 2005-07-19 |
1578128575 | Erin L Mctague | Physician Assistant | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2019-05-06 |
1184187999 | Christina M Weiss | Registered Nurse | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2019-04-09 |
1104389121 | Amanda R Follrod | Registered Nurse | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2019-04-08 |
1629572094 | Taylor Pinney | Physician Assistant | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845 | 2018-03-21 |
1477055804 | Stacie Stauffer | Registered Nurse | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2018-03-01 |
1053827469 | Megan E Daniels | Registered Nurse | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2017-12-20 |
1649701996 | Martha Vergara | Nurse Practitioner | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1672 | 2017-03-27 |
1356897383 | Abby J Emerick | Nurse Practitioner | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845-1733 | 2016-08-30 |
1114379732 | Meagan K O'brien | Physician Assistant | 11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 46845 | 2016-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
Find all providers in zip 46845 |
Taxonomy Code | 163WG0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Gastroenterology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410772 | Ashley Kathleen Rosenbarger | Registered Nurse | 8362 S 125 E, Brookston, IN 47923-8238 | 2020-08-31 |
1295231918 | Jennifer Diane O'neal | Registered Nurse | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-04-02 |
1487080529 | Katie Elizabeth Luigs | Registered Nurse | 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714 | 2013-09-20 |
City | FORT WAYNE |
Zip Code | 46845 |
Please comment or provide details below to improve the information on TABATHA NORTH.
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.