East Indiana Recovery, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

EAST INDIANA RECOVERY, LLC

Practice address

1528 NW 5TH St
Richmond, IN 47374-1844

Phone

(937) 416-5442

Fax

(765) 935-0073

NPI assigned

Feb 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Kolodzik, MDNPI 1760422869

Title

Owner

Phone

(937) 825-6220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul W Kolodzik, MD

  • Emergency Medicine Physician
  • Greenfield, OH
  • NPI 1760422869
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1013418599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S DIXIE DR STE 3",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772142",
            "telephone_number": "937-416-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 NW 5TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741844",
            "telephone_number": "937-416-5442",
            "fax_number": "765-935-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST INDIANA RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "KOLODZIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-825-6220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Dykan, M.D.
• Charlotte Eakin
• Jennifer Eales
• Earlham College
• East Indiana Anesthesia Group P.C.
• Eastern Indiana Center for Ambulatory Surgery LLC
• Eastern Indiana Orthopaedics Inc
• Steven Eilerman, PT
• Ike Martin Ekwealor, RPH
• Ahmad Feras Elbash, MD

• Addiction Medicine (Family Medicine) Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Addiction Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.