JAMES WARREN DAMMON JR.


Address: 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830
Phone: 5749485170

JAMES WARREN DAMMON JR. (NPI# 1942664008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942664008
Entity Type Individual
Full Name JAMES WARREN DAMMON JR.
Credential MD
Practice Address 1919 Lake Ave
Suite 102
Plymouth
IN 46563-7830
Mailing Address 707 E Cedar St
Ste 200
South Bend
IN 46617-2057
Practice Telephone 5749485170
Mailing Telephone 5743358700
Enumeration Date 2016-04-05
Last Update Date 2016-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 01076447 IN Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 01076447 IN Allopathic & Osteopathic Physicians

Office Location

Street Address 1919 LAKE AVE
SUITE 102
City PLYMOUTH
State IN
Zip Code 46563-7830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871548438 Samuel B Vanlandingham Surgery 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 2006-05-23
1225531213 Primmer Logan Zook Specialist/Technologist 1919 Lake Ave, Plymouth, IN 46563-7830 2018-03-15
1134622129 Jordan Kelly Weitzell Specialist/Technologist 1919 Lake Ave, Plymouth, IN 46563-7830 2018-03-15
1902200298 Allied Physicians of Michiana, LLC Durable Medical Equipment & Medical Supplies 1919 Lake Ave, Suite 107b, Plymouth, IN 46563-7830 2014-10-15
1033439989 Rushabh Anilkumar Shah Pediatrics 1919 Lake Ave, Suite 110, Plymouth, IN 46563-7830 2010-06-02
1033388558 Edison Lakes Urology Plymouth Office Urology 1919 Lake Ave, Suite 109, Plymouth, IN 46563-7830 2008-02-28
1740366657 Ryan Joseph Carroll Specialist/Technologist 1919 Lake Ave, Suite 111, Plymouth, IN 46563-7830 2006-10-31
1255439022 Diagnostic Medicine PC Internal Medicine 1919 Lake Ave, Ste 108, Plymouth, IN 46563-7830 2006-09-20
1881703809 Brian L Piazza Surgery 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 2006-08-30
1861411209 Janice Ann Baldwin Obstetrics & Gynecology 1919 Lake Ave, Suite 99, Plymouth, IN 46563-7830 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811547748 Steven N Wolff Pharmacist Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 2019-09-12
1295280923 Multi-county Ems LLC Ambulance 5034 Redwood Road, Plymouth, IN 46563 2016-08-23
1356473060 Donna Michelle Eggers Speech-Language Pathologist 1915 Lake Avenue, Plymouth, IN 46563 2007-03-09
1629103684 Marshall County Council On Aging Home Delivered Meals 1305 W Harrison Street, Plymouth, IN 46563 2007-02-22
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1316005911 Michiana Eye Center LLC Optometrist 320 Meadow Ln, Plymouth, IN 46563 2006-12-05
1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
1508932252 Thomas A Miller Chiropractor 1071 Lincolnway E, Plymouth, IN 46563 2006-11-27
1679540991 Mukesh Garg Internal Medicine 2349 Lake Ave Ste 99, Plymouth, IN 46563 2006-03-06
1982686242 Woodlawn Hospital Skilled Nursing Facility 9601 Union Rd, Plymouth, IN 46563 2005-11-14
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760612022 Robert Christian Andersen Surgery 604 Kingsview Ln N, Plymouth, MN 55447-4326 2009-07-21
1518165455 M K Alchokhachy Inc Surgery 143 Court St, Plymouth, MA 02360-3807 2007-07-03
1609893312 Donald Joseph Faulkner Surgery 1919 Lake Ave Ste 102, Ste 102, Plymouth, IN 46563-7830 2006-07-17
1194763003 Madeline Hallie Gartner Surgery 15535 34th Ave N, Plymouth, MN 55447-1481 2006-06-03
1871548438 Samuel B Vanlandingham Surgery 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 2006-05-23
1134105646 Matthew J Tierney Surgery 10 Cordage Park Cir, Suite 227, Plymouth, MA 02360-7318 2005-12-16
1861823999 Speare Memorial Hospital Surgery 16 Hospital Rd, Plymouth, NH 03264-1126 2013-11-27
1225236151 Louis A Reines Surgery 46 Obery St, Plymouth, MA 02360 2007-07-03
1912076837 Joseph Edmund Piszczek Surgery 72 E Main St, Plymouth, PA 18651 2006-11-07
1881703809 Brian L Piazza Surgery 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 2006-08-30
Find all providers in PLYMOUTH

Competitor

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City PLYMOUTH
Zip Code 46563

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Dataset Information

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.

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