TAREK KTELEH (NPI# 1932220035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932220035 |
| Entity Type | Individual |
| Full Name | TAREK KTELEH |
| Credential | MD |
| Practice Address |
3550 W Fox Ridge Ln Muncie IN 47304-5205 |
| Practice Telephone | 7657175399 |
| Practice Fax Number | 7652166774 |
| Mailing Telephone | 7652812188 |
| Mailing Fax Number | 7652812062 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2006018669 | MO | Other Service Providers |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
01068046A | IN | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
10801 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200980090 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1007 N 16th St, New Castle, IN 473624320 | 7657175399 | 7652166774 |
| 330 N Wabash Ave Ste 470, Marion, IN 469522685 | 7657175399 | 7652166774 |
| 800 S Tillotson Ave, Muncie, IN 473044529 | 7652812188 | 7652812062 |
| Street Address |
3550 W FOX RIDGE LN |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306334255 | Medical Group of Indiana LLC | Internal Medicine | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2018-04-26 |
| 1114324506 | Diane Margaret Martel | Nurse Practitioner | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2014-12-01 |
| 1588949762 | Christa Jo Wall | Nurse Practitioner | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-10-19 |
| 1801170063 | Kasie N Power | Physician Assistant | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-10-06 |
| 1609159730 | Deborah Ann Peterson | Physician Assistant | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1881662732 | Rosemarie M Jeffery | Internal Medicine | 800 S Tillotson Ave, Muncie, IN 47304-4529 | 2006-03-08 |
| 1306334255 | Medical Group of Indiana LLC | Internal Medicine | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2018-04-26 |
| 1275680282 | Charles Earl Sanders Jr. | Internal Medicine | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047256 | American Arthritis & Rheumatology Associates In LLC | Internal Medicine | 18077 River Rd Ste 206, Noblesville, IN 46062-8334 | 2018-06-15 |
| 1457708000 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 N 6th 1/2 St Ste 302, Terre Haute, IN 47804-2770 | 2016-05-24 |
| 1972855138 | Rheumetology Arthritis Immunology | Internal Medicine | 4933 Plaza East Blvd, Evansville, IN 47715-2813 | 2012-10-11 |
| 1407167273 | Anan Bassam Afaneh | Internal Medicine | 6905 E 96th St Ste 300, Indianapolis, IN 46250-4456 | 2010-06-28 |
| 1306161955 | Kirk Jenkins | Internal Medicine | 1461 Morthland Dr Ste A, Valparaiso, IN 46385-6362 | 2010-04-06 |
| 1053598896 | Tracy M. Brenner | Internal Medicine | 8902 N Meridian St #210, Indianapolis, IN 46260-5307 | 2008-01-23 |
| 1528248242 | Reddy Rheumatology of Northwest In PC | Internal Medicine | 118 E 90th Drive, Merrillville, IN 46410-7160 | 2007-11-09 |
| 1700927811 | Arthritis Care of Michiana LLC | Internal Medicine | 100 Navarre Pl Ste 5570, South Bend, IN 46601-1169 | 2007-02-09 |
| 1538225487 | Kimberly Shaw Lamberson | Internal Medicine | 1001 West 10th Street, Wishard Hospital, Indianapolis, IN 46202 | 2006-12-28 |
| 1134202880 | William Parker Rusche | Internal Medicine | 3316 E Mulberry Dr, Bloomington, IN 47401-2426 | 2006-10-23 |
| 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.