Maplewood Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01058292A Issued in IN

Legal business name

MAPLEWOOD FAMILY MEDICINE, LLC

Practice address

3270 Intertech Dr
Suite B
Angola, IN 46703-7325

Phone

(260) 665-9100

Fax

(260) 665-9112

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher James Bretz, M.D.

Title

Physician - Owner

Phone

(260) 665-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christopher J. Bretz, M.D. Other name

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1295991222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "467370626",
            "telephone_number": "260-665-9100",
            "fax_number": "260-665-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 INTERTECH DR",
            "address_2": "SUITE B",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467037325",
            "telephone_number": "260-665-9100",
            "fax_number": "260-665-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN - OWNER",
        "authorized_official_telephone_number": "260-665-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058292A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christopher J. Bretz, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank R Letke, RPH
• Devon A Lewandowski, NP
• Ella Mae Lewin
• Adrienne Long, BS
• Brian Patrick Magwire, O.D.
• Marathon Health, LLC (Marathon Health, Angola IN)
• Dayna March, LMHC
• Maeanna Marteen
• Andrea Martin, LPC
• Cherie Mathews, PTA

• Family Medicine Physician in Angola, IN
• Providers in Angola, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.