DR. BRUCE W VAN NATTA (NPI# 1881652444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881652444 |
| Entity Type | Individual |
| Full Name | DR. BRUCE W VAN NATTA |
| Credential | MD |
| Practice Address |
170 W 106th St Indianapolis IN 46290-1004 |
| Practice Telephone | 3175750330 |
| Practice Fax Number | 3178465719 |
| Mailing Telephone | 3175750330 |
| Mailing Fax Number | 3178465719 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01031291A | IN | Other Service Providers |
| Street Address |
170 W 106TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245755024 | Kelly M Tunberg | Physician Assistant | 170 W 106th St, Indianapolis, IN 46290-1004 | 2017-08-14 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| 1740334317 | Richard J. Balikian | Otolaryngology | 170 W 106th St, Indianapolis, IN 46290-1004 | 2007-01-22 |
| 1245302538 | Sadove Plastic Surgery, LLC | Plastic Surgery | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-11-14 |
| 1104850262 | Alan Michael Sadove | Surgery | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-07-11 |
| 1831148527 | Meridian Plastic Surgery Center, P.C. | Clinic/Center | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-09 |
| 1215985130 | Christine L Kelley-patteson | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-04 |
| 1700834637 | Stephen W Perkins | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-04 |
| 1790743367 | Perkins Van Natta Plastic Surgery, P.C. | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1538374780 | Arthur J Sumrall | Dermatology | 10291 N Meridian St, Suite 300, Indianapolis, IN 46290 | 2007-05-11 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1487028429 | Binh Nguyen | Specialist | 11022 Tenacious Dr, Indianapolis, IN 46236-9566 | 2015-11-13 |
| 1578930111 | Christina Price | Specialist | 1035 Helen Dr, Indianapolis, IN 46240-3008 | 2015-08-31 |
| 1023494994 | Joachim Wernicke | Specialist | 447 W 91st St, Indianapolis, IN 46260 | 2015-08-03 |
| 1275917031 | Elise Brown | Specialist | 5117 Chatham Pl, Indianapolis, IN 46226-2272 | 2015-07-11 |
| 1134525777 | Ellen M Einterz | Specialist | 6160 N Ewing St, Indianapolis, IN 46220-5147 | 2014-11-10 |
| 1801149687 | Wiriyaporn Ridtitid | Specialist | 550 University Blvd # Uh1634, Indianapolis, IN 46202-5149 | 2012-10-18 |
| 1053687210 | Daniel Connor Drew | Specialist | 7168 Graham Rd, Suite 150, Indianapolis, IN 46250-2686 | 2012-03-31 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
Please comment or provide details below to improve the information on DR. BRUCE W VAN NATTA.
| 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.