DAVID JENTZ (NPI# 1952493918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952493918 |
| Entity Type | Individual |
| Full Name | DAVID JENTZ |
| Credential | M.D. |
| Practice Address |
530 N. Lafayette Blvd South Bend IN 46601-1098 |
| Practice Telephone | 5742344176 |
| Practice Fax Number | 5742341561 |
| Mailing Telephone | 5742344176 |
| Mailing Fax Number | 5742341561 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01029478 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
530 N. LAFAYETTE BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598862989 | Blair Chrenka | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-20 |
| 1174936090 | Stephanie Anne Wolanin | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601 | 2014-06-09 |
| 1194842864 | Joseph Prahlow | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2007-03-26 |
| 1467544437 | C Kurtis Kim | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1093807083 | Bobbie Sutton | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1750473708 | Rick Hoover | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1952493926 | Wlliam Kaliney | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1588756571 | Robert Tomec | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1962594929 | Kristen Jacobs | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1629160601 | John Landgraf | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255438644 | Nicole Anest | Pathology | 530 N. Lafayette Blvd., South Bend, IN 46601-1098 | 2006-09-20 |
| 1922623305 | South Bend Medical Foundation, Inc | Pathology | 530 N Lafayette Blvd, South Bend, IN 46601-1004 | 2020-06-11 |
| 1972982171 | Akanksha Gupta | Pathology | 530 N Lafayette Blvd, South Bend, IN 46601-1004 | 2015-05-21 |
| 1629497185 | Jonathan Konopinski | Pathology | 530 N Lafayette Blvd, South Bend, IN 46601-1004 | 2014-04-14 |
| 1972840304 | Rachel Elizabeth Mathis | Pathology | 530 N Lafayette Blvd, South Bend, IN 46601-1004 | 2013-01-04 |
| 1821222613 | Erica Lyn Martin | Pathology | 530 N Lafayette Blvd, The Medical Foundation, South Bend, IN 46601-1004 | 2009-05-07 |
| 1194842864 | Joseph Prahlow | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2007-03-26 |
| 1467544437 | C Kurtis Kim | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1093807083 | Bobbie Sutton | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| 1750473708 | Rick Hoover | Pathology | 530 N. Lafayette Blvd, South Bend, IN 46601-1098 | 2006-09-28 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.