MR. JAY LYNN SCHLABACH (NPI# 1710053020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710053020 |
| Entity Type | Individual |
| Full Name | MR. JAY LYNN SCHLABACH |
| Credential | MD |
| Practice Address |
400 W Lincoln Ave Goshen IN 46526-2413 |
| Practice Telephone | 5745337600 |
| Practice Fax Number | 5745337666 |
| Mailing Telephone | 5745337600 |
| Mailing Fax Number | 5745337666 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
01032927A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
400 W LINCOLN AVE |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457467995 | Kimberly Sue Stuckey Schrock | Family Medicine | 400 W Lincoln Ave, Goshen, IN 46526-2413 | 2006-08-21 |
| 1467094821 | Diana Marmolejos | Registered Nurse | 400 W Lincoln Ave, Goshen, IN 46526-2413 | 2019-10-16 |
| 1083063499 | Cipriana Ortega | Nurse Practitioner | 400 W Lincoln Ave, Goshen, IN 46526-2413 | 2016-06-07 |
| 1346653334 | Anna Weaver Grady | Family Medicine | 400 W Lincoln Ave, Goshen, IN 46526-2413 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982854741 | Amy Crosson | Family Medicine | 213 Middlebury St, Goshen, IN 46528-2956 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591829 | Grogan Family Medicine LLC | Family Medicine | 3024 Ohio Ave, Connersville, IN 47331-3073 | 2019-08-01 |
| 1366901696 | Signal Business Administration Inc | Family Medicine | 135 Jordan Rd, Indianapolis, IN 46217-4003 | 2019-03-16 |
| 1700393741 | Jeffrey N De Wester Treatment and Research Center, LLC | Family Medicine | 6447 S East St Ste C, Indianapolis, IN 46227-2119 | 2017-12-29 |
| 1760757645 | Jimmy Floyd Sharp | Family Medicine | 2012 Market St, Charlestown, IN 47111-1729 | 2012-03-12 |
| 1598893752 | William Dudley Ritchie | Family Medicine | 567 E Olmstead Ave, Evansville, IN 47711-3333 | 2007-03-01 |
| 1629119177 | Stephanie M Johnson Md LLC | Family Medicine | 274 Hannah Ave, Seymour, IN 47274-4058 | 2007-02-09 |
| 1932253994 | Robert S. Hojnicki | Family Medicine | 1812 E Crystal Creek Dr, Terre Haute, IN 47802-4897 | 2007-01-23 |
| 1316966948 | Paul Joseph Brownson | Family Medicine | 762 Franklin Trce, Zionsville, IN 46077-1165 | 2006-07-18 |
| 1568413680 | J Nathan Sherlock | Family Medicine | 1241 Central Ave, Indianapolis, IN 46202-2613 | 2006-05-13 |
| 1275511586 | Rodney J Anderson | Family Medicine | 1300 N Pennsylvania St, Suite 200, Indianapolis, IN 46202-4453 | 2006-01-06 |
| 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.