WALLACE JOHN GASIEWICZ (NPI# 1972790848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972790848 |
| Entity Type | Individual |
| Full Name | WALLACE JOHN GASIEWICZ |
| Credential | M.D. |
| Practice Address |
10832 Weatherly Ct Indianapolis IN 46236-8857 |
| Practice Telephone | 3178239380 |
| Mailing Telephone | 3178239380 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01059216A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
10832 WEATHERLY CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1023160322 | Robin Stickney | Preventive Medicine | 8322 Heron Ct, Indianapolis, IN 46256-1707 | 2007-01-17 |
| 1073689287 | Robert Walter Poel | Preventive Medicine | 1101 Southeastern Avenue, Indianapolis, IN 46202 | 2006-11-28 |
| 1730161209 | Eric J Levine | Preventive Medicine | 4770 S Emerson Ave, Ste A, Indianapolis, IN 46203-6913 | 2005-11-18 |
| 1598757932 | Owen H Lucas Jr. | Preventive Medicine | 8177 Clearvista Pkwy, Suite B, Indianapolis, IN 46256-1662 | 2005-08-22 |
| 1881143907 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 7301 Georgetown Rd, Suite 109 - 111, Indianapolis, IN 46268-5124 | 2016-09-30 |
| 1710436852 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 1101 Southeastern Ave, Indianapolis, IN 46202-3946 | 2016-09-30 |
| 1619098068 | Thomas Perrin | Preventive Medicine | 5604 W 74th St, Building #117, Indianapolis, IN 46278-1752 | 2007-04-03 |
| 1760508998 | Richard Stout | Preventive Medicine | 6920 Gatwick Dr, Suite 100, Indianapolis, IN 46241-9504 | 2007-03-21 |
| 1740305143 | Kenneth Kirkman | Preventive Medicine | 6920 Gatwick Dr, Indianapolis, IN 46241-9504 | 2007-03-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46236 |
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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.