JOHN O LEVINE (NPI# 1881694990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881694990 |
| Entity Type | Individual |
| Full Name | JOHN O LEVINE |
| Credential | MD |
| Practice Address |
2401 W University Ave Muncie IN 47303-3428 |
| Mailing Address |
250 N Shadeland Ave Suite 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 7657474236 |
| Practice Fax Number | 7657412961 |
| Mailing Telephone | 7657474236 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01047772A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01047772 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 080128017 | 01 | |
| BCBS | 000000082847 | 01 | |
| IN | 200153850 | 05 | |
| IN | 200153850A | 05 | |
| PHP | 10339 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093752651 | John B. Levine | Psychiatry & Neurology | 14 Prospect Street, Milford, MA 01757-3003 | 2006-06-01 |
| 1730206509 | John Braverman Levine | Psychiatry & Neurology | 1105 Massachusetts Ave, Suite 3d, Cambridge, MA 02138-5220 | 2007-03-24 |
| 1720098353 | John E Levine | Internal Medicine | 10 E 102nd St, New York, NY 10029-6030 | 2006-08-08 |
| Street Address |
2401 W UNIVERSITY AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778894 | Adesola Awomolo | Internal Medicine | 2401 W University Ave, Muncie, IN 47303 | 2005-05-23 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1295343903 | Elizabeth Ann Ewer | Registered Nurse | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-20 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| 1972124451 | David Andrew Price | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-06 |
| 1396366969 | David Arthur Schmitz | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-05 |
| 1093336943 | Donald Brock Smith | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-01 |
| 1629699772 | Jared Blake Salisbury | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-29 |
| 1831718451 | Morgan Perkins | Dietitian, Registered | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609114578 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 1313 W Mcgalliard Rd, Muncie, IN 47303-1774 | 2013-01-28 |
| 1588698435 | Doctor Emmanuel Saintjean, LLC | Emergency Medicine | 2901 W Jackson St, Muncie, IN 47304-4307 | 2006-07-10 |
| 1598764532 | Kendal R Baker | Emergency Medicine | 2401 University Ave, Muncie, IN 47303-3428 | 2005-07-20 |
| 1184623175 | Thomas P Mengelt | Emergency Medicine | 1720 S Burlington Dr, Muncie, IN 47302-2771 | 2005-07-20 |
| 1407350564 | Jocelyn Elizabeth Mattoon | Emergency Medicine | 221 N Celia Ave, Muncie, IN 47303-4609 | 2018-03-22 |
| 1780112870 | Molly A Kelly | Emergency Medicine | 221 N Celia Ave, Muncie, IN 47303-4609 | 2017-06-01 |
| 1578940011 | Gregory Marshall Taylor | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2015-05-05 |
| 1336536507 | Caroline Yang | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2015-04-24 |
| 1295120137 | Robert Doggette | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303 | 2015-03-30 |
| 1699188672 | Thomas Boone | Emergency Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2014-06-06 |
| Find all providers in MUNCIE | ||||
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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.