ELITE HEALTH CARE OF JAY COUNTY INC (NPI# 1770965774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770965774 |
| Entity Type | Organization |
| Organization Name | ELITE HEALTH CARE OF JAY COUNTY INC |
| Practice Address |
126 S Main St Dunkirk IN 47336-1250 |
| Practice Telephone | 7652818883 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | DAVID R SEGRAVES (OWNER/DOCTOR) |
| Authorized Official Telephone | 7652818883 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01027232A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
126 S MAIN ST |
| City | DUNKIRK |
| State | IN |
| Zip Code | 47336-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740766740 | Janelle Ohlemiller | Social Worker | 1150 S Main St, Dunkirk, IN 47336 | 2018-07-13 |
| 1902921281 | Jacob Wade Ludwick | Dentist | 129 W Oak St, Dunkirk, IN 47336-1425 | 2007-03-19 |
| 1427071869 | Johnson Memorial Hospital. | Durable Medical Equipment & Medical Supplies | 11563 W 300 S, Dunkirk, IN 47336-9044 | 2006-07-26 |
| 1164415410 | Dinesh M Doshi | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2005-08-23 |
| 1447888474 | Tiffany L Nixon | Nurse Practitioner | 1150 S Main St, Dunkirk, IN 47336-9701 | 2020-03-27 |
| 1124520069 | Mandy Jean Boeckman | Nurse Practitioner | 1150 S Main St, Dunkirk, IN 47336-9701 | 2018-03-07 |
| 1730556333 | Meridian Health Services Corp | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2015-08-31 |
| 1548327307 | Jay County Hospital | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2007-01-02 |
| 1023111739 | Hook Superx LLC | Pharmacy | 1130 S Main St, Dunkirk, IN 47336-9701 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832205 | Kelly E Sullivan | Nurse Practitioner | 10020 Southern Maryland Blvd Ste 202, Dunkirk, MD 20754-3055 | 2020-08-20 |
| 1700495462 | Erin Arnold | Counselor | 3175 W Ward Rd Ste 200, Dunkirk, MD 20754-3024 | 2020-07-29 |
| 1366051534 | Annahid Meyssami | Dentist | 3150 W Ward Rd Ste 304, Dunkirk, MD 20754-3057 | 2020-07-23 |
| 1750916730 | Dunkirk Volunteer Fire Dept. and Rescue Squad | Ambulance | 3170 W Ward Rd, Dunkirk, MD 20754-3050 | 2020-03-10 |
| 1356971543 | Jessica Lynn Morrison | Social Worker | 319 Central Ave Fl 2, Dunkirk, NY 14048-2137 | 2020-01-16 |
| 1942844626 | Sdx Home Care Operations, LLC | In Home Supportive Care | 10351 Southern Maryland Blvd Ste 201, Dunkirk, MD 20754-3016 | 2019-11-05 |
| 1518501915 | Kenna Rae Brown | Registered Nurse | 11662 Township Road 20, Dunkirk, OH 45836-9746 | 2019-10-30 |
| 1083274864 | Kristen Marie Wallace | Physical Therapist | 526 Central Ave, Dunkirk, NY 14048-2515 | 2019-06-14 |
| 1356905863 | Kathleen Ann Knaak | Social Worker | 128 S Pangolin St, Dunkirk, NY 14048-1332 | 2019-04-30 |
| 1922568435 | Ksa Youth Foundation Inc. | Clinic/Center | 10351 Southern Maryland Blvd Ste 101, Dunkirk, MD 20754-9510 | 2019-03-21 |
| Find all providers in DUNKIRK | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477500304 | Tat- Sum Lee | Family Medicine | 3898 Vineyard Dr, Suite 3, Dunkirk, NY 14048-3559 | 2006-05-27 |
| 1013986256 | Helen Carreras-suchanick | Family Medicine | 19 Lake Shore Dr W, Dunkirk, NY 14048-1513 | 2006-03-17 |
| 1164415410 | Dinesh M Doshi | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2005-08-23 |
| 1689220444 | Gabriel N Attallah | Family Medicine | 319 Central Ave Ste B, Dunkirk, NY 14048-2137 | 2019-08-16 |
| 1629584610 | Erin Elizabeth Miller | Family Medicine | 319 Central Ave Ste B, Dunkirk, NY 14048 | 2017-12-28 |
| 1194175968 | Maxim Mitchell | Family Medicine | 3898 Vineyard Dr, Dunkirk, NY 14048 | 2016-06-13 |
| 1730556333 | Meridian Health Services Corp | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2015-08-31 |
| 1235370461 | Patrick Robert Dennison | Family Medicine | 319 Central Ave, Suite B, Dunkirk, NY 14048-2137 | 2009-03-18 |
| 1588820971 | Immirne Monet Ouwinga | Family Medicine | 10845 Town Center Blvd, Suite 102, Dunkirk, MD 20754-2712 | 2008-08-05 |
| 1548327307 | Jay County Hospital | Family Medicine | 1150 S Main St, Dunkirk, IN 47336-9701 | 2007-01-02 |
| Find all providers in DUNKIRK | ||||
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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.