LANA BUCCHINO LLC (NPI# 1760813422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760813422 |
Entity Type | Organization |
Organization Name | LANA BUCCHINO LLC |
Practice Address |
1910 W Royale Dr Muncie IN 47304-2264 |
Practice Telephone | 7652891011 |
Practice Fax Number | 7652893024 |
Mailing Telephone | 7652891011 |
Mailing Fax Number | 7652893024 |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |
Authorized Official Name | SVETLANA BUCCHINO (OWNER) |
Authorized Official Telephone | 7652891011 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01057078A | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | NPI | 1932120847 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | LANA BUCCHINO LLC | 3101 Brenwick Lane, Muncie, IN 47304 |
Street Address |
1910 W ROYALE DR |
City | MUNCIE |
State | IN |
Zip Code | 47304-2264 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659358745 | Elpidio M Feliciano Jr. | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2005-12-29 |
1316579824 | Global Medical Services, LLC | Clinic/Center | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2020-02-12 |
1225450836 | Royale Internal Medicine, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2014-01-16 |
1780948646 | Wellcare Medical, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-06-26 |
1952663817 | C & I Medical, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-06-15 |
1306104435 | Rainmaker Production Services, LLC | Internal Medicine | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2012-04-26 |
1952684805 | Lynsie Yarger | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2011-09-27 |
1669789640 | Amy Combs | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2010-09-11 |
1942517925 | Cynthia J Allen | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2010-09-11 |
1932416914 | Jennifer Goss | Registered Nurse | 1910 W Royale Dr, Muncie, IN 47304-2264 | 2010-09-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
1902202534 | Quad/med, LLC | Clinic/Center | 2900 E Mcgalliard Rd, Muncie, IN 47303-1520 | 2014-11-10 |
1487852943 | Thomas J. Melham, Md, LLC | Clinic/Center | 2810 W Ethel Ave Ste 5, Muncie, IN 47304-4402 | 2007-07-06 |
1659733830 | Thomas J. Melham Md LLC | Clinic/Center | 3711 N Everbrook Ln, Muncie, IN 47304-5270 | 2016-03-25 |
1851753719 | Activate Healthcare - Hch Muncie Clinic | Clinic/Center | 3521 W Purdue Ave, Muncie, IN 47304-6358 | 2016-03-22 |
1821465899 | Quadmed LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2015-08-26 |
1124154331 | Qualcomp Preferred Medical Consultants.pc | Clinic/Center | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-02-24 |
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1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
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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.