Janelle R Blickensderfer (NPI# 1477505543, PAC ID# 4981744976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1477505543 |
| PAC ID by PECOS | 4981744976 |
| Professional Enrollment ID | I20091223000364 |
| Full Name | Janelle R Blickensderfer |
| Organization Legal Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Address |
515 N Lafayette Blvd Michiana Obstetrics and Gynecology South Bend IN 46601-1003 |
| Phone Number | 5742512100 |
| Gender | F |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4486627601 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 | 5742512100 | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Organization Legal Name | ALLIED PHYSICIANS OF MICHIANA, LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Maher D Abu-hamdan | Otolaryngology | Allied Physicians of Michiana, LLC | 1919 Lake Ave, Suite 107, Plymouth, IN 46563-7830 |
| Street Address |
515 N LAFAYETTE BLVD MICHIANA OBSTETRICS AND GYNECOLOGY |
| City | SOUTH BEND |
| State | IN |
| Zip | 46601-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Luis Alfonso Benavente Chenhalls | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Marie Basham | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Thomas G Akre | Orthopedic Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Jon Blake Chadwell | Otolaryngology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Thalia R Pachiyannakis | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Timothy W Noveroske | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Douglas Neal Macgregor | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Erin Krizman | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Crystal S Beneker | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Thomas L Poulin | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Lyndsay Gable | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
| Find all physicians in zip 46601 | |||
| City | SOUTH BEND |
| Zip Code | 46601 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SOUTH BEND + OBSTETRICS/GYNECOLOGY |
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| 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.