Abby Jo Brack (NPI# 1104399013, PAC ID# 7719225614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104399013 |
| PAC ID by PECOS | 7719225614 |
| Professional Enrollment ID | I20190220000481 |
| Full Name | Abby Jo Brack |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Address |
2920 N Arlington Ave Suite B Indianapolis IN 46218-3362 |
| Phone Number | 3173559431 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759416662 |
| Number of Group Practice Members | 1076 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150074 | COMMUNITY HOSPITAL EAST |
| Address | Phone | Organization |
|---|---|---|
| 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 | 3173559431 | COMMUNITY PHYSICIANS OF INDIANA INC |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Physicians | 1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda Tedder | Nurse Practitioner | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
| Sasikanth Adigopula | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 |
| Itoro Okpokho | Family Medicine | Community Physicians of Indiana Inc | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 |
| Rebecca A King | Nurse Practitioner | Community Physicians of Indiana Inc | 101 S Liberty St, Russiaville, IN 46979-9125 |
| Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Alyson M Ruotanen | Qualified Audiologist | Community Physicians of Indiana Inc | 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990 |
| Fnu Rakshita Chandrashekar | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1101 W Jefferson St S, Franklin, IN 46131-2147 |
| Robert W Godley Ii | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760 |
| Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Street Address |
2920 N ARLINGTON AVE SUITE B |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46218-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Latonya L Sultzer | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Angela Madison | Clinical Social Worker | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Leann S Emery | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Fundenberger | Ophthalmology | 2815 E 38th St, Linda Fundenberger Md, Indianapolis, IN 46218-1299 | |
| Lauren M Gunn | Registered Dietitian Or Nutrition Professional | The Health and Hospital Corporation of Marion County | 2505 N Arlington Ave, Eskenazi Hlt Arlngtn, Indianapolis, IN 46218-3318 |
| Erika Green | Internal Medicine | The Health and Hospital Corporation of Marion County | 2505 N Arlington Ave, Eskenazi Hlt Arlngtn, Indianapolis, IN 46218-3318 |
| Aaron Peter Kalinowski | Family Medicine | Community Physicians of Indiana Inc | 5470 E 16th St, Indianapolis, IN 46218-4861 |
| Gary Alan Antlept | Clinical Social Worker | Community Health Network Inc | 5470 E 16th St, Gallahue Mental Health Services, Indianapolis, IN 46218-4861 |
| Brooke E Huber | Nurse Practitioner | Jane Pauley Community Health Center Inc | 5470 E 16th St, Jane Pauley Chc At Gallahue Inc, Indianapolis, IN 46218-4861 |
| Deborah L Hewitt | Clinical Social Worker | Community Health Network Inc | 5470 E 16th St, Gallahue Mental Health Services, Indianapolis, IN 46218-4861 |
| Mindy A Hughett | Clinical Social Worker | Community Health Network Inc | 5470 E 16th St, Gallahue Mental Health Services, Indianapolis, IN 46218-4861 |
| Benjamin M Coplan | Psychiatry | Community Physicians of Indiana Inc | 5435 E 16th St, Suite 500, Indianapolis, IN 46218-4869 |
| John Barnett Swofford | Anesthesiology | 5445 E 16th St, Indianapolis, IN 46218-4869 | |
| Find all physicians in zip 46218 | |||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
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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.