THEODORE HEGEMAN (NPI# 1801893300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801893300 |
| Entity Type | Individual |
| Full Name | THEODORE HEGEMAN |
| Credential | M.D. |
| Practice Address |
5255 E Stop 11 Rd Suite 440 Indianapolis IN 46237-6340 |
| Mailing Address |
1801 N Senate Blvd Suite 355 Indianapolis IN 46202-1228 |
| Practice Telephone | 3178822857 |
| Practice Fax Number | 3178822873 |
| Mailing Telephone | 3179248420 |
| Mailing Fax Number | 3179248424 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01023446 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM NUMBER | 000000083032 | 01 |
| Street Address |
5255 E STOP 11 RD SUITE 440 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851033 | Barbara Louise Bowers | Nurse Practitioner | 5255 E Stop 11 Rd, Ste 310, Indianapolis, IN 46237-6340 | 2005-06-20 |
| 1396289757 | Amanda Stocker | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-12-05 |
| 1609326008 | Sylvia Tawfik | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-10-10 |
| 1962858605 | Jaclyn Selders | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2016-05-12 |
| 1780056754 | Carolyn England | Physician Assistant | 5255 E Stop 11 Rd, 200, Indianapolis, IN 46237-6340 | 2015-10-29 |
| 1174916811 | Daniel Welty | Specialist/Technologist | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2015-03-05 |
| 1720484819 | Bethany A Snider | Physician Assistant | 5255 E Stop 11 Rd, Suite 200, Indianapolis, IN 46237-6340 | 2014-11-17 |
| 1336552496 | Sarah A Polacek | Physician Assistant | 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237-6340 | 2014-06-06 |
| 1255773610 | Cara Vivian Van Weelden | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2013-07-25 |
| 1912257825 | Lindsey Rush | Physician Assistant | 5255 E Stop 11 Rd, Ste. 200, Indianapolis, IN 46237-6340 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| 1982850244 | William Henry Dick | Internal Medicine | 6737 La Tour Cir, Indianapolis, IN 46278-1546 | 2008-08-18 |
| 1104922582 | Nephrology Associates of Indianapolis, LLC | Internal Medicine | 6350 Rucker Rd, Suite 103, Indianapolis, IN 46220-4893 | 2006-09-15 |
| 1013943109 | Nephrology & Internal Medicine, Inc. | Internal Medicine | 5510 S East St, Indianapolis, IN 46227-1938 | 2006-06-23 |
| 1285682054 | Sisir K Dhar | Internal Medicine | 12256 Wayside Rd, Indianapolis, IN 46256-9432 | 2006-05-04 |
| 1194780403 | Timothy A Sutton | Internal Medicine | 950 W Walnut St, E 276, Indianapolis, IN 46202-5188 | 2006-04-19 |
| 1114982642 | Mindaugas Zekonis | Internal Medicine | 1801 N. Senate Blvd, Suite 355, Indianapolis, IN 46202-1252 | 2006-04-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.