Michiana Physical Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MICHIANA PHYSICAL MEDICINE

Practice address

2310 California Rd
Elkhart, IN 46514-1228

Phone

(574) 264-7085

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joan L Szynal

Title

Owner

Phone

(574) 264-7085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michiana Physical Medicine

  • Specialist
  • Elkhart, IN
  • NPI 1144422924

  O20060106000024

  Same enrollment
• Michiana Physical Medicine PC

  • Physical Therapist
  • Goshen, IN
  • NPI 1336175769

  O20060106000024

  Same enrollment

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1164624649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "address_2": "SUITE 3",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-534-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "SZYNAL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-264-7085",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Thomas, LCSW, LLC (Mindwell Counseling Group)
• Michiana Counseling Group, LLC
• Michiana Eye Center , LLC
• Michiana Internal Medicine PC
• Michiana Physical Medicine
• Estrella Miguel
• Mariana Millan Montiel
• Abigale Miller
• Allison K Miller, MS, OTR/L
• Andrea Lynn Miller, APN

• Specialist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.