Stephanie L Davitto (NPI# 1053757047, PAC ID# 2466695689) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053757047 |
| PAC ID by PECOS | 2466695689 |
| Professional Enrollment ID | I20130906000463 |
| Full Name | Stephanie L Davitto |
| Organization Legal Name | INDIANA CLINIC CRITICAL CARE LLC |
| Address |
1115 Ronald Reagan Pkwy Suite 171 Avon IN 46123-6914 |
| Phone Number | 3172172888 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678600988 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150024 | ESKENAZI HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 | 3172172888 | INDIANA CLINIC CRITICAL CARE LLC |
| Organization Legal Name | INDIANA CLINIC CRITICAL CARE LLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Montgomery | Nurse Practitioner | Indiana Clinic Critical Care LLC | 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149 |
| Joseph T Lee | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Anil Achaen | Internal Medicine | Indiana Clinic Critical Care LLC | 11725 Illinois St, Suite 465, Carmel, IN 46032-3010 |
| Carole E Floyd | Nurse Practitioner | Indiana Clinic Critical Care LLC | 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822 |
| Bhasker Reddy | Hospitalist | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Amanda T Trout | Physician Assistant | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Jeffrey L Farmer | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Rajnish Khillan | Hospitalist | Indiana Clinic Critical Care LLC | 13100 E 136th St, Suite 3600, Fishers, IN 46037-9822 |
| Allyson L Thomas | Hospitalist | Indiana Clinic Critical Care LLC | 1801 Senate Blvd, 2000 Advanced Heart and Lung, Indianapolis, IN 46202-1252 |
| Katherine A Pollard | Pulmonary Disease | Indiana Clinic Critical Care LLC | 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149 |
| Street Address |
1115 RONALD REAGAN PKWY SUITE 171 |
| City | AVON |
| State | IN |
| Zip | 46123-6914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhasker Reddy | Hospitalist | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Jennifer A Fritsche | Nurse Practitioner | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 |
| Hilary D Parker | Nurse Practitioner | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Stephen Pollom | Internal Medicine | Indiana University Health Care Associates Inc | 1115 Ronald Reagan Pkwy, Suite 318, Avon, IN 46123-6914 |
| Karl L Yang | Pulmonary Disease | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 |
| Stacy A Lobodzinski | Nurse Practitioner | Indiana Clinic Critical Care LLC | 1115 Ronald Reagan Pkwy, Suite 171, Avon, IN 46123-6914 |
| Blair S Dina | Obstetrics/gynecology | Indiana University Health Care Associates Inc | 1115 Ronald Reagan Pkwy, Suite 266, Avon, IN 46123-6911 |
| Jeffrey Richard Ihlendorf | Internal Medicine | University Family Physicians, Inc. | 1115 Ronald Reagan Pkwy, Suite 141, Avon, IN 46123-6913 |
| Luis E Colon | Ophthalmology | Whitson Vision PC | 1115 Ronald Reagan Pkwy, Suite 223, Avon, IN 46123-6911 |
| Megan K Stoller | Obstetrics/gynecology | Indiana University Health Care Associates Inc | 1115 Ronald Reagan Pkwy, Suite 266, Avon, IN 46123-6911 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannielle Christine Gilyan | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Heather Abbott | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jessica E Squires | Physician Assistant | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jennifer Dale | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Ibrar Faqir Paracha | Nephrology | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jacquelyn H Patterson | Optometry | Wisconsin Vision Inc | 9655 E Us Hwy 36 E, Avon, IN 46123-6212 |
| Allison Elizabeth Williams | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 762 N Dan Jones Rd, Countryside Meadows, Avon, IN 46123-6213 |
| Jody L Hirst | Clinical Social Worker | Pike Medical Consultants PC | 762 N Dan Jones Rd, Gericare Indy, Avon, IN 46123-6213 |
| Andrew J Scott | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Ellery R Ho | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Find all physicians in zip 46123 | |||
| City | AVON |
| Zip Code | 46123 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AVON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie L Davitto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.