MUNSTER MEDICAL RESEARCH FOUNDATIO (NPI# 1720063746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720063746 |
| Entity Type | Organization |
| Organization Name | MUNSTER MEDICAL RESEARCH FOUNDATIO |
| Other Organization Name | COMMUNITY SPINE AND NEUOSURGERY INSTITUTE |
| Practice Address |
801 Macarthur Blvd Ste 405 Munster IN 46321-2919 |
| Practice Telephone | 2198365167 |
| Practice Fax Number | 2198365249 |
| Mailing Telephone | 2198365167 |
| Mailing Fax Number | 2198365249 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | DONALD P FESKO (CEO) |
| Authorized Official Telephone | 2198361600 |
| Is Organization Subpart | Y |
| Parent Organization Name | MUNSTER MEDICAL RESEARCH FOUNDATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | DE3851 | 01 |
| IN | ANTHEM BCBS | 000000383680 | 01 |
| IN | 200261490D | 05 | |
| IN | MEDICARE RR | DE3851 | 01 |
| Other Name | Type Code |
|---|---|
| Community Spine and Neuosurgery Institute | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1801053426 | Munster Medical Research Foundatio | Family Medicine | 505 West Us Highway 30, Schererville, IN 46375-2650 | 2008-05-21 |
| Street Address |
801 MACARTHUR BLVD STE 405 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345227 | David S Rozenfeld | Psychiatry & Neurology | 801 Macarthur Blvd, Ste 404, Munster, IN 46321-2919 | 2005-06-09 |
| 1144821919 | Danielle Renee Dobkowski | Pharmacy Technician | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2020-11-06 |
| 1881186328 | Lucia Salerno | Occupational Therapist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2018-05-31 |
| 1326549635 | Frank J Bieda | Pharmacist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2018-02-22 |
| 1861877656 | Ana Marie Javate | Nurse Practitioner | 801 Macarthur Blvd, Suite 401, Munster, IN 46321-2915 | 2015-07-22 |
| 1467830208 | Jacob Meyer | Specialist/Technologist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2015-05-13 |
| 1982090239 | Andrea Sue Reader | Clinical Nurse Specialist | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2915 | 2015-04-14 |
| 1942607163 | Mary Spina | Specialist/Technologist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2014-12-03 |
| 1164826699 | Julie Marie Pruim | Nurse Practitioner | 801 Macarthur Blvd, Suite 304, Munster, IN 46321-2915 | 2014-10-13 |
| 1700211828 | Jason White | Nurse Practitioner | 801 Macarthur Blvd, Suite 404, Munster, IN 46321-2915 | 2013-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871769331 | Aamir Badruddin | Neurological Surgery | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2008-05-05 |
| 1952510653 | Mohammad S Shukairy | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2007-05-21 |
| 1184733008 | Wayel Kaakaji | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2006-08-30 |
| 1619952470 | Marc A Levin | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146076 | T.s.shanks, Pllc | Neurological Surgery | 1919 State St Ste 250, New Albany, IN 47150-6805 | 2019-04-04 |
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1326465725 | Hayder Jaffer | Neurological Surgery | 200 E 89th Ave Ste 3a, Merrillville, IN 46410-7319 | 2014-03-24 |
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1659646917 | Shaheryar Faruq Ansari | Neurological Surgery | 8040 Clearvista Pkwy Ste 240, Indianapolis, IN 46256-4673 | 2012-03-19 |
| 1629367354 | Katrina Alise Ducis | Neurological Surgery | 705 Riley Hospital Dr Rm 1134, Indianapolis, IN 46202 | 2011-04-04 |
| 1639490857 | Karl Erach Balsara | Neurological Surgery | 705 Riley Hospital Dr # 1134, Indianapolis, IN 46202 | 2010-06-22 |
| 1265759955 | Chih-ta Lin | Neurological Surgery | 2525 W University Ave Ste 503, Muncie, IN 47303-3409 | 2010-04-21 |
| 1093030322 | Gregory J Loomis | Neurological Surgery | 1024 Dress Ln, Evansville, IN 47725-9596 | 2010-03-30 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
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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.