Mooibroek, Steven J
MD, PEDIATRICS
Parkview Physicians Group
2710 Lake Ave, Fort Wayne, IN 46805
Effective Date: 4/7/2009
TIN: 351972384
Sarrazine, Ronald L
MD, PEDIATRICS
Parkview Physicians Group
11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845
Effective Date: 4/7/2009
TIN: 351972384
Zakelj, Mary J
MD, PEDIATRICS
Lima Memorial Professional Corp
1005 Bellefontaine Ave Ste 245, Lima, OH 45804
Effective Date: 11/4/2008
TIN: 341935236
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
8141 Kennedy Ave, Highland, IN 46322
Effective Date: 4/1/2009
TIN: 454158203
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
4035 Elm St, East Chicago, IN 46312
Effective Date: 4/1/2009
TIN: 454158203
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
6924 Indianapolis Blvd, Hammond, IN 46324
Effective Date: 4/1/2009
TIN: 454158203
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
4320 Fir St, East Chicago, IN 46312
Effective Date: 4/1/2009
TIN: 454158203
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
100 W Chicago Ave Ste F, East Chicago, IN 46312
Effective Date: 4/1/2009
TIN: 454158203
Goldyn, James L
MD, PEDIATRICS
Community Care Network Inc
1534 119th St, Whiting, IN 46394
Effective Date: 4/1/2009
TIN: 454158203
Nallu, Ramchandra R
MD, PEDIATRICS
Lima Memorial Professional Corp
102 Putnam Pkwy, Ottawa, OH 45875
Effective Date: 4/1/2005
TIN: 341935236
Downs, Stephen M
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 4/1/2005
TIN: 351693695
Nallu, Ramchandra R
MD, PEDIATRICS
Lima Memorial Professional Corp
1220 E Elm St Ste 220, Lima, OH 45804
Effective Date: 4/1/2005
TIN: 341935236
Bohney, James P
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 4th Fl, Indianapolis, IN 46202
Effective Date: 8/15/1996
TIN: 351693695
Bohney, James P
MD, PEDIATRICS
Eskenazi Medical Group
820 Samuel Moore Pkwy, Mooresville, IN 46158
Effective Date: 8/15/1996
TIN: 351693695
Bohney, James P
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 8/15/1996
TIN: 351693695
Nanagas, Victor C
MD, PEDIATRICS
Northpoint Pediatrics PC
8101 Clearvista Pkwy #185, Indianapolis, IN 46256
Effective Date: 5/1/2007
TIN: 351767385
Nanagas, Victor C
MD, PEDIATRICS
Northpoint Pediatrics PC
9669 E 146th St Ste 300, Noblesville, IN 46060
Effective Date: 5/1/2007
TIN: 351767385
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
104 E Culver Rd Ste 106, Knox, IN 46534
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
1001 Sturdy Rd, Valparaiso, IN 46383
Effective Date: 3/5/2019
TIN: 352147791
McKenna, Sarah J
MD, PEDIATRICS
Eskenazi Medical Group
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 9/12/2005
TIN: 351693695
McKenna, Sarah J
MD, PEDIATRICS
Eskenazi Medical Group
702 Barnhill Dr, Indianapolis, IN 46202
Effective Date: 9/12/2005
TIN: 351693695
McKenna, Sarah J
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 1st Fl, Indianapolis, IN 46202
Effective Date: 9/12/2005
TIN: 351693695
McKenna, Sarah J
MD, PEDIATRICS
Wishard Health Services
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 9/12/2005
TIN: 356005697
McKenna, Sarah J
MD, PEDIATRICS
Eskenazi Medical Group
550 N University Blvd, Indianapolis, IN 46202
Effective Date: 9/12/2005
TIN: 351693695
McKenna, Sarah J
MD, PEDIATRICS
Eskenazi Medical Group
2505 N Arlington, Indianapolis, IN 46218
Effective Date: 9/12/2005
TIN: 351693695
Roe, Vicki M
MD, PEDIATRICS
Northpoint Pediatrics PC
8101 Clearvista Pkwy #185, Indianapolis, IN 46256
Effective Date: 5/1/2007
TIN: 351767385
Roe, Vicki M
MD, PEDIATRICS
Northpoint Pediatrics PC
9669 E 146th St Ste 300, Noblesville, IN 46060
Effective Date: 5/1/2007
TIN: 351767385
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
710 Franklin St Ste 200, Michigan City, IN 46360
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
1960 Northside Blvd, South Bend, IN 46615
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
701 Wall St, Valparaiso, IN 46383
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
621 Memorial Dr Ste 402, South Bend, IN 46601
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
1313 W Chicago Ave, East Chicago, IN 46312
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
420 W 4th St, Mishawaka, IN 46544
Effective Date: 3/5/2019
TIN: 352147791
Griffin, Mary H
MD, PEDIATRICS
HealthLinc Inc
1708 High St, South Bend, IN 46613
Effective Date: 3/5/2019
TIN: 352147791
Katbi, Lamia
MD, PEDIATRICS
Lamia Katbi MD
3145 45th St Ste M, Highland, IN 46322
Effective Date: 4/1/2009
TIN: 201157491
Schmucker, Robyn D
MD, PEDIATRICS
Parkview Physicians Group
11115 Parkview Plaza Dr, Fort Wayne, IN 46845
Effective Date: 10/2/2012
TIN: 351972384
Schmucker, Robyn D
MD, PEDIATRICS
Parkview Physicians Group
11123 Parkview Plaza Dr Ste 201, Fort Wayne, IN 46845
Effective Date: 10/2/2012
TIN: 351972384
Harper, Michael C
MD, PEDIATRICS
Physicians Services of Indiana LLC
130 Hunter Station Way Ste 202, New Albany, IN 47150
Effective Date: 4/3/2012
TIN: 452867417
Leedy, Alicia C
MD, PEDIATRICS
Community Hospitals of IN Inc
11911 N Meridian St #180, Carmel, IN 46032
Effective Date: 5/1/2007
TIN: 371464826
Laws, Harry F
MD, PEDIATRICS
Community Hospitals of IN Inc
5502 E 16th St Ste A12, Indianapolis, IN 46218
Effective Date: 5/1/2007
TIN: 350983617
Layman, Jennifer S
MD, PEDIATRICS
Community Hospitals of IN Inc
11911 N Meridian St #180, Carmel, IN 46032
Effective Date: 5/1/2007
TIN: 371464826
Stephen, Erin J
MD, PEDIATRICS
Wishard Health Services
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 7/15/2004
TIN: 356005697
Harris, Mitchell A
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 1/1/2004
TIN: 351693695
Harris, Mitchell A
MD, PEDIATRICS
Wishard Health Services
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 1/1/2004
TIN: 356005697
Harris, Mitchell A
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd PCC 2nd Fl, Indianapolis, IN 46202
Effective Date: 1/1/2004
TIN: 351693695
Gandra, Jagjeevan
MD, PEDIATRICS
Franciscan Physician Network
770 Indian Boundary Rd Ste 200, Chesterton, IN 46304
Effective Date: 1/1/2009
TIN: 611630276
Landicho, Gregoria
MD, PEDIATRICS
Franciscan Physician Network
1225 E Coolspring Ave, Michigan City, IN 46360
Effective Date: 1/1/2009
TIN: 611630276
Champley, John T
MD, PEDIATRICS
Northpoint Pediatrics PC
8101 Clearvista Pkwy #185, Indianapolis, IN 46256
Effective Date: 5/1/2007
TIN: 351767385
Champley, John T
MD, PEDIATRICS
Northpoint Pediatrics PC
9669 E146th St Ste 300, Noblesville, IN 46060
Effective Date: 5/1/2007
TIN: 351767385
Thompson, Rachel
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd 2nd Fl, Indianapolis, IN 46202
Effective Date: 7/1/2011
TIN: 351693695
Pardieck, Jane A
MD, PEDIATRICS
Jane Pardieck MD LLC
13121 Olio Rd Ste 100A, Fishers, IN 46037
Effective Date: 7/7/2008
TIN: 262925943
Wilson, Jane E
MD, PEDIATRICS
Eskenazi Medical Group
1002 Wishard Blvd PCC 2nd Fl, Indianapolis, IN 46202
Effective Date: 6/4/2007
TIN: 351693695
Wilson, Jane E
MD, PEDIATRICS
Eskenazi Medical Group
550 N University Blvd, Indianapolis, IN 46202
Effective Date: 6/4/2007
TIN: 351693695
Wilson, Jane E
MD, PEDIATRICS
Eskenazi Medical Group
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 6/4/2007
TIN: 351693695
Orr, Donald P
MD, PEDIATRICS
Eskenazi Medical Group
1434 S Shelby St, Indianapolis, IN 46203
Effective Date: 10/1/2002
TIN: 351693695
Orr, Donald P
MD, PEDIATRICS
Wishard Health Services
1001 W 10th St, Indianapolis, IN 46202
Effective Date: 10/1/2002
TIN: 356005697
Orr, Donald P
MD, PEDIATRICS
Eskenazi Medical Group
2732 W Michigan St, Indianapolis, IN 46222
Effective Date: 10/1/2002
TIN: 351693695
Mohanty, Rajashree B
MD, PEDIATRICS
Wishard Health Services
2505 N Arlington, Indianapolis, IN 46218
Effective Date: 10/1/2002
TIN: 356005697
Orr, Donald P
MD, PEDIATRICS
Eskenazi Medical Group
2700 Martin Luther King Jr Blvd, Indianapolis, IN 46208
Effective Date: 10/1/2002
TIN: 351693695
Orr, Donald P
MD, PEDIATRICS
Eskenazi Medical Group
9443 E 38th St, Indianapolis, IN 46236
Effective Date: 10/1/2002
TIN: 351693695
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