ERIC TRIPP (NPI# 1740222603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740222603 |
| Entity Type | Individual |
| Full Name | ERIC TRIPP |
| Credential | M.D. |
| Practice Address |
5215 Holy Cross Parkway Mishawaka IN 46545 |
| Mailing Address |
1234 Napier Ave Saint Joseph MI 49085-2112 |
| Practice Telephone | 5743355000 |
| Practice Fax Number | 5743350760 |
| Mailing Telephone | 2699838172 |
| Mailing Fax Number | 2699854535 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01040707 | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 4301102003 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000687861 | 01 |
| IN | BCBS | 000000334836 | 01 |
| IN | 100328400 | 05 | |
| IN | 100328400H | 05 |
| Street Address |
5215 HOLY CROSS PARKWAY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345797 | Thomas P Varied | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2005-06-13 |
| 1699132365 | Saint Joseph Regional Medical Center-south Bend Campus, Inc | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2016-01-26 |
| 1699933499 | Steven M Mezsick | Anesthesiology | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2008-05-28 |
| 1740454305 | Jacqueline J. Mokfi | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IL 46545 | 2008-04-15 |
| 1982804357 | Kathryn P Lambourne | Anesthesiology | 5215 Holy Cross Parkway, St. Joseph Regional Medical Center - Anesthesia Dept, Mishawaka, IN 53792-0001 | 2007-07-23 |
| 1255535779 | Matous Pradny | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2007-06-11 |
| 1124159843 | Jialin Bao | Anesthesiology | 5215 Holy Cross Parkway, Anesthesia Department, Mishawaka, IN 46545-1469 | 2007-03-07 |
| 1326062746 | Franklin Moncrief Dobson | Pediatrics | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2006-07-27 |
| 1992731905 | Michael James Phend | Internal Medicine | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2006-06-23 |
| 1982641197 | John N Porter | Anesthesiology | 5215 Holy Cross Parkway, Mishawaka, IN 46545-1469 | 2006-05-31 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437600541 | Unity Hospitalist LLC | Hospitalist | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1442 | 2016-10-24 |
| 1336502913 | Select Specialty Hospital - Northern Indiana, LLC | Hospitalist | 215 W 4th St, 2nd Fl, Mishawaka, IN 46544-1917 | 2016-04-01 |
| 1346538824 | Knd Development 59 LLC | Hospitalist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
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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.