DOUGLAS J SCHWARTZENTRUBER (NPI# 1962482406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962482406 |
| Entity Type | Individual |
| Full Name | DOUGLAS J SCHWARTZENTRUBER |
| Credential | M.D. |
| Practice Address |
535 Barnhill Dr Rt 252 Indianapolis IN 46202-5116 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179440301 |
| Practice Fax Number | 3172786523 |
| Mailing Telephone | 3179630860 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2014-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 01031937 | IN | Other Service Providers |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
01031937A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200456350 | 05 | |
| IN | ANTHEM PIN | 000000720155 | 01 |
| Street Address |
535 BARNHILL DR RT 252 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057470 | Richard James Hamburger | Internal Medicine | 535 Barnhill Dr, Rt150, Indianapolis, IN 46202-5116 | 2005-07-20 |
| 1174144794 | Beth A Kirsch | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2020-05-05 | |
| 1336776145 | Fabiana Perna | Student in an Organized Health Care Education/Training Program | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2020-03-24 |
| 1578193843 | Pauline Kim | Student in an Organized Health Care Education/Training Program | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2020-01-24 |
| 1568016418 | Wendy Joy Sonoda | Nurse Practitioner | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2019-07-30 |
| 1740743434 | Joshua Heiman | Student in an Organized Health Care Education/Training Program | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2019-04-09 |
| 1942773007 | Martina Fraga | Pharmacist | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2019-01-10 |
| 1306344676 | Jessica Rubeck | Nurse Practitioner | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2018-01-31 |
| 1285157107 | Suheil Albert Atallah-yunes | Internal Medicine | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2017-07-23 |
| 1306367156 | Tareq Salous | Internal Medicine | 535 Barnhill Dr, Indianapolis, IN 46202-5116 | 2017-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366544868 | Rhys Thomas Schmidt IIi | Surgery | 8240 Naab Rd Ste 320, Indianapolis, IN 46260-1987 | 2006-09-04 |
| 1861625709 | St. Francis Hospital and Health Centers | Surgery | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2009-08-26 |
| 1437399987 | Jeremy Lee Davis | Surgery | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2009-02-24 |
| 1528232451 | Michael G House | Surgery | 550 N University Blvd., Suite 1295, Indianapolis, IN 46202-5149 | 2008-04-22 |
| 1073703260 | Timothy A Goedde Md PC | Surgery | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2007-07-25 |
| 1477505071 | Mary A Maluccio | Surgery | 550 University Blvd, Uh4601, Indianapolis, IN 46202-5149 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295005395 | Neal Agee | Surgery | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2012-01-05 |
| 1871892208 | Fiona Noelle Denham | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-03-24 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1992704449 | Leonard R Henry | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-18 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.