JOHN MICHAEL MUSGRAVE (NPI# 1902849987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902849987 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL MUSGRAVE |
| Credential | MD |
| Practice Address |
1205 Provident Drive Ste A Warsaw IN 46580 |
| Mailing Address |
P.o. Box 996 Warsaw IN 46580 |
| Practice Telephone | 5742698384 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 01021548A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100096110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858366 | John M Musgrave | Psychologist | 3470 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2005-08-18 |
| 1275533143 | John W Musgrave | Family Medicine | 7024 Nordic Dr, Cedar Falls, IA 50613-6309 | 2005-07-21 |
| Street Address |
1205 PROVIDENT DRIVE STE A |
| City | WARSAW |
| State | IN |
| Zip Code | 46580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952534943 | Jena Elizabeth Gould | Nurse Practitioner | 1205 Provident Drive, Suite A, Warsaw, IN 46580-3265 | 2009-08-25 |
| 1356501514 | Eric William Waldo | Internal Medicine | 1205 Provident Drive, Suite A, Warsaw, IN 46580-3265 | 2008-06-11 |
| 1689618316 | Julie Ann Harstine | Nurse Practitioner | 1205 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
| 1477597094 | Rebecca J. Johnson | Family Medicine | 1205 Provident Drive, Suite A, Warsaw, IN 46580-3265 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083060222 | Kathryn Freeman | Colon & Rectal Surgery | 355 Westfield Rd Ste 120, Noblesville, IN 46060-1442 | 2016-05-06 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| 1568795409 | Center for Colon and Rectal Care LLC | Colon & Rectal Surgery | 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 | 2009-09-10 |
| 1902065261 | Sanjay Vijaya Thekkeurumbil | Colon & Rectal Surgery | 7430 N. Shadeland Ave, Suite 200, Indianapolis, IN 46250 | 2008-06-03 |
| 1457524522 | Ben M Tsai | Colon & Rectal Surgery | 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2008-04-09 |
| 1033399704 | David T. Harrison, D.o.,p.c. | Colon & Rectal Surgery | 3520 Guion Rd Ste 307, Indianapolis, IN 46222-1672 | 2007-11-09 |
| 1134318892 | Central Indiana Proctology PC | Colon & Rectal Surgery | 2315 W Jefferson St, Kokomo, IN 46901-4119 | 2007-10-18 |
| 1427081090 | Central Indiana Proctology PC | Colon & Rectal Surgery | 250 E Harrison St, Martinsville, IN 46151-1510 | 2006-07-08 |
| 1720024615 | Dalal Medical Corporation | Colon & Rectal Surgery | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-06-21 |
| Find all providers with the same taxonomy | ||||
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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.