Robert Ealy (NPI# 1346296670, PAC ID# 4880667708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1346296670 |
| PAC ID by PECOS | 4880667708 |
| Professional Enrollment ID | I20040818000179 |
| Full Name | Robert Ealy |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Address |
9660 Wicker Ave Saint John IN 46373-9487 |
| Phone Number | 2193651166 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678737012 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9660 Wicker Ave, Saint John, IN 46373-9487 | 2193651166 | COMMUNITY CARE NETWORK INC |
| Organization Legal Name | COMMUNITY CARE NETWORK INC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Mantis | Certified Clinical Nurse Specialist (cns) | Community Care Network Inc | 9126 Columbia Ave, Munster, IN 46321-2907 |
| Megan Fiscella | Physical Therapy | Community Care Network Inc | 1545 W Us Hwy 30, Schererville, IN 46375-1562 |
| Farrukh Salim Chaudhry | Neurology | Community Care Network Inc | 901 Macarthur Blvd, Munster, IN 46321-2901 |
| Alicia Christina Fowler | Nurse Practitioner | Community Care Network Inc | 1946 45th St, Munster, IN 46321-3986 |
| Stephanie M Evanson | Obstetrics/gynecology | Community Care Network Inc | 9122 Columbia Ave, Munster, IN 46321-2907 |
| Marylynn Katherine Barnes | Nurse Practitioner | Community Care Network Inc | 3100 45th St, Highland, IN 46322-3289 |
| Megan Maria Lawrence | Nurse Practitioner | Community Care Network Inc | 103 E 89th Ave, Merrillville, IN 46410-7184 |
| Angela D Patti | Nurse Practitioner | Community Care Network Inc | 9034 Columbia Ave, Munster, IN 46321-2905 |
| Justin Abraham | Neurology | Community Care Network Inc | 6625 W Lincoln Hwy, Suite 4, Crown Point, IN 46307-6611 |
| Tina A Crum | Certified Nurse Midwife (cnm) | Community Care Network Inc | 3800 Saint Mary Rd, Suite 201, Valparaiso, IN 46383-3986 |
| Street Address |
9660 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip | 46373-9487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Newberg | Emergency Medicine | Community Care Network Inc | 9660 Wicker Ave, Suite 3, Saint John, IN 46373-9487 |
| Breanna Nicole Faber | Occupational Therapy | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Akta S Kakodkar | Otolaryngology | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Patricia M Tunberg | Physical Therapy | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Wayel Kaakaji | Neurosurgery | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Melissa E Krzus | Nurse Practitioner | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Priscilla Moe Mulesa | Physical Therapy | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Jeanne A Brown | Psychologist, Clinical | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Shaun Wehle | Psychologist, Clinical | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Jonathan V Ramos | Family Medicine | Community Care Network Inc | 9660 Wicker Ave, Saint John, IN 46373-9487 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav Agarwal | Nephrology | Northwest Indiana Nephrology PC | 606 E Lincolnway, Valparaiso, IN 46373-5728 |
| Judith K Berg | Nurse Practitioner | Northwest Indiana Nephrology PC | 606 E Lincolnway, Valparaiso, IN 46373-5728 |
| Julia L Rogers | Nurse Practitioner | Northwest Indiana Nephrology PC | 606 E Lincolnway, Valparaiso, IN 46373-5728 |
| Marcia R Meggs | Anesthesiology | Stat Anesthesia Specialists Ltd | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-8400 |
| Eileen M Boetel | Certified Registered Nurse Anesthetist (crna) | Stat Anesthesia Specialists Ltd | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-8400 |
| Tanmay Panigrahi | Anesthesiology | Stat Anesthesia Specialists Ltd | 10220 Wicker Ave, Suite 3, Saint John, IN 46373-8400 |
| Brian P Weismann | Ophthalmology | 10220 Wicker Ave, Suite 2, St John, IN 46373-8400 | |
| Mark S Rybczynski | Family Medicine | Franciscan Physician Network | 10860 Maple Lane, St John, IN 46373-8418 |
| Revathy Ameeruddin | Physical Medicine and Rehabilitation | Franciscan Physician Network | 10860 Maple Lane, St John, IN 46373-8418 |
| Valerie Renee Anderson | Optometry | 9270 Wicker Ave A, Clearvue Eyecare, Saint John, IN 46373-8509 | |
| Find all physicians in zip 46373 | |||
| City | SAINT JOHN |
| Zip Code | 46373 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAINT JOHN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Robert Ealy.
| 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.