ROY ABRAHAM (NPI# 1912214560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912214560 |
| Entity Type | Individual |
| Full Name | ROY ABRAHAM |
| Credential | M.D. |
| Practice Address |
500 W Votaw St Portland IN 47371-1322 |
| Mailing Address |
1331 S A St Elwood IN 46036-1942 |
| Practice Telephone | 2607267131 |
| Mailing Telephone | 7655524600 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01072420A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01072420A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENCE | 01072420A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1331 S A St, Elwood, IN 460361942 | 7655524600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942679949 | Roy Abraham | Spec/Tech, Cardiovascular | 202 Chatham Ave, Sugar Land, TX 77479-6719 | 2015-09-20 |
| 1518023175 | Roy Abraham | Orthopaedic Surgery | 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503-4619 | 2006-12-28 |
| Street Address |
500 W VOTAW ST |
| City | PORTLAND |
| State | IN |
| Zip Code | 47371-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115993 | Jay County Hospital | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2005-06-24 |
| 1972074482 | Cassandra Louise Alexander | Social Worker | 500 W Votaw St, Portland, IN 47371-1322 | 2018-12-10 |
| 1669991279 | Indiana University Health Jay, Inc. | Medicare Defined Swing Bed Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-14 |
| 1821517533 | Indiana University Health Jay, Inc. | Psychiatric Unit | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1801315692 | Indiana University Health Jay, Inc. | General Acute Care Hospital | 500 W Votaw St, Portland, IN 47371-1322 | 2017-09-13 |
| 1871018119 | Matthew Sieg | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2017-08-08 |
| 1457803769 | Meridian Health Services Corp | Clinic/Center | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-11-03 |
| 1336694736 | Anne Hardesty | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371 | 2016-08-16 |
| 1952759557 | Jay County Hospital | Family Medicine | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-05-25 |
| 1043672660 | Heather Ann Masters | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1336643410 | Lisa Marcella Moore | Nurse Practitioner | 500 W. Votaw Street, Portland, IN 47371 | 2018-03-22 |
| 1609186030 | Carolyn Louise Keihn | Nurse Practitioner | 430 W. Votaw St., Portland, IN 47371 | 2010-10-19 |
| 1922125384 | Carla Ann Ford | Social Worker | 1758 W 100s, Jay County Hopsital Behavioral Health, Portland, IN 47371 | 2007-03-23 |
| 1902824956 | Midwest Healthstrategies, Inc | Physical Therapist | 1745 W 100 S, Portland, IN 47371 | 2006-07-18 |
| 1346212875 | Jenni Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-07 |
| 1497756043 | Jay County Government | Ambulance | 902 N Creagor Ave, Portland, IN 47371 | 2005-08-04 |
| 1861574006 | Wal-mart Stores East, Lp | Technician/Technologist | 950 W Votaw St, Portland, IN 47371 | 2006-10-19 |
| 1982677241 | James P Clear | Chiropractor | 603 N Meridian St, Portland, IN 47371 | 2006-02-08 |
| 1982749867 | Family Practice of Jay County | Family Medicine | 428 West Votaw Street, Ste. A, Portland, IN 47371-0710 | 2007-02-20 |
| Find all providers in zip 47371 | ||||
| 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 |
|---|---|---|---|---|
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1942647185 | Jason F Hine | Emergency Medicine | E1 Clairmont Ct, Portland, ME 04103-4459 | 2013-05-29 |
| 1487900742 | Aaron Vitells | Emergency Medicine | 2424 Ne 41st Ave, Portland, OR 97212-5423 | 2012-07-24 |
| 1073870895 | Marcus Alyn Chiodo | Emergency Medicine | 10000 Se Main St Ste 40, Adventist Medical Center - The Pavilion, Portland, OR 97216-2461 | 2012-04-18 |
| 1184913147 | Jerry L Lawrence | Emergency Medicine | 11705 Nw Timberview Ln, Apt 204, Portland, OR 97229-6659 | 2011-03-30 |
| Find all providers in PORTLAND | ||||
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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.