John A Dettmer (NPI# 1912936253, PAC ID# 8628201092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1912936253 |
| PAC ID by PECOS | 8628201092 |
| Professional Enrollment ID | I20140509001179 |
| Full Name | John A Dettmer |
| Organization Legal Name | SPINALCARE PHYSICAL MEDICINE LLC |
| Address |
114 N State Rd Suite 267 Avon IN 46123-8475 |
| Phone Number | 3172724100 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1557594926 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 114 N State Rd, Suite 267, Avon, IN 46123-8475 | 3172724100 | SPINALCARE PHYSICAL MEDICINE LLC |
| Organization Legal Name | SPINALCARE PHYSICAL MEDICINE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor L Chalfant | Chiropractic | Spinalcare Physical Medicine LLC | 114 N State Rd, Suite 267, Avon, IN 46123-8475 |
| Street Address |
114 N STATE RD SUITE 267 |
| City | AVON |
| State | IN |
| Zip | 46123-8475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor L Chalfant | Chiropractic | Spinalcare Physical Medicine LLC | 114 N State Rd, Suite 267, Avon, IN 46123-8475 |
| 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 | CHIROPRACTIC |
| City + Specialty | AVON + CHIROPRACTIC |
Please comment or provide details below to improve the information on John A Dettmer.
| 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.