DR. LYDIA A PFENNIGER (NPI# 1972703346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972703346 |
| Entity Type | Individual |
| Full Name | DR. LYDIA A PFENNIGER |
| Credential | D.O. |
| Practice Address |
620 W North St Columbia City IN 46725 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2602440202 |
| Practice Fax Number | 2602488255 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02005508A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 03119 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125-049772 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1112 S Cushman Ave, Tacoma, WA 984053631 | 2535932144 | 2532724125 |
| 620 W North St, Columbia City, IN 46725 | 2602440202 | 2602488255 |
| Street Address |
620 W NORTH ST |
| City | COLUMBIA CITY |
| State | IN |
| Zip Code | 46725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932164621 | Lisa A Hatcher | Family Medicine | 620 W North St, Columbia City, IN 46725-1214 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858652 | Brittany R Ianucilli | Behavior Technician | 1200 W Depoy Dr, Columbia City, IN 46725 | 2018-07-23 |
| 1467908012 | Andrew Ott, LLC | Community/Behavioral Health | 402 N. Washington St., Columbia City, IN 46725 | 2016-09-01 |
| 1972983641 | Chelsey Caldwell | Pediatrics | 1270 E State Road 205 Ste 230, Columbia City, IN 46725 | 2015-06-08 |
| 1861805541 | Piotr Swiatkowski | Physical Therapist | 1260 East State Road 205, Columbia City, IN 46725 | 2014-06-10 |
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| 1508125873 | Mary Margaret Cyrus | Massage Therapist | 3880 E Cider Mill Rd, Columbia City, IN 46725 | 2012-05-08 |
| 1831473834 | Abigail R West | Occupational Therapy Assistant | 612 N Washington St, Columbia City, IN 46725 | 2011-10-10 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1366590937 | Rebecca Leigh Corpuz | Physician Assistant | 885 Connexion Way, Suite 200, Columbia City, IN 46725 | 2007-01-08 |
| 1902919582 | Bart Andrew Benzinger | Optometrist | 402 W. Plaza Dr, Wal-mart Vision Center, Columbia City, IN 46725 | 2006-08-16 |
| Find all providers in zip 46725 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821925 | Alisa N Briones | Family Medicine | 840 Valley River Dr, Columbia City, IN 46725-8476 | 2019-09-30 |
| 1174052948 | Andrew J Henry | Family Medicine | 1270 E State Road 205 Ste 240, Columbia City, IN 46725-8506 | 2017-06-06 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1255347225 | Jeffrey A Brookes | Family Medicine | 524 Branch Ct, Columbia City, IN 46725-1323 | 2006-07-31 |
| 1740228071 | Margery Ann Gordon | Family Medicine | 885 W Connexion Way Ste 200, Columbia City, IN 46725 | 2006-06-02 |
| 1932164621 | Lisa A Hatcher | Family Medicine | 620 W North St, Columbia City, IN 46725-1214 | 2006-04-18 |
| 1043288822 | Rhonda A Sparks | Family Medicine | 885 W Connexion Way, Columbia City, IN 46725-1044 | 2006-03-09 |
| 1881678696 | Gary M. Berube | Family Medicine | 1270 E State Road 205 Ste 210, Suite 210, Columbia City, IN 46725-8506 | 2005-12-05 |
| 1942294921 | David Christopher Lieb | Family Medicine | 111 W Market St, Columbia City, IN 46725-2311 | 2005-09-07 |
| 1912901851 | James Beitzel | Family Medicine | 1270 E State Road 205, Suite 210, Columbia City, IN 46725-9499 | 2005-06-09 |
| Find all providers in COLUMBIA CITY | ||||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
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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.