Caylor Nickel Clinic, PC
Organization Active NPI Multi-Specialty Clinic/Center · Bluffton, IN
NPI 1669424784 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1669424784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- CAYLOR NICKEL CLINIC, PC
- Practice address
- 1 Caylor Nickel SQ
Bluffton, IN 46714-2529 - Phone
- (260) 919-3302
- Fax
- (260) 919-3551
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kimberly S Bumgarner
- Title
- Director Human Resources
- Phone
- (260) 919-3302
Practitioners 57
-
Richard Y Aina, MD
-
Harish P Ardeshna, M.D.
-
Donna J Blair, M.D.
-
Stuart L Brodsky, M.D.
-
John Kevin Burns, M.D.
-
Ashwani Duggal, M.D.
-
Walter O Erxleben Jr., M.D.
-
John J Greenman, M.D.
-
Ajay S Gupta, MD
-
Warren C. Hauck, M.D.
-
Amy Lai, MD
-
Tina M. Lawson, M.D.
-
Debra S. Lazzaro, M.D.
-
Richard J Leo, M.D.
-
Abigail L. Mitchell, NURSE PRACTITIONER
-
Noel T Moore, M.D.
-
Julie A Moss, N.P.
-
Michael G. Motyer, D.P.M.
-
Margaret R Pahmier, N.P.
-
Scott E Phillips, MD
-
Jeanne E Ploetz, N.M.W.
-
Richard A Potts, DO
-
Jana K. Powell, NP
National Provider Directory
Locations
311 S Scott St
Bluffton, IN 46714
Phone (260) 919-3291
1 Caylor Nickel Sq
Bluffton, IN 46714
Phone (219) 824-3500
1935 N Main St
Bluffton, IN 46714
Phone (260) 824-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1 Caylor Nickel SQ
Bluffton, IN 46714-2529
Mailing address
1 Caylor Nickel SQ
Bluffton, IN 46714-2529
Phone (260) 919-3302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200383890 | Medicaid | IN | |
| 100449040A | Medicaid | IN |
Other providers in Bluffton, IN
- Stuart L Brodsky
- David C Brown
- Juanita E Bryan
- Carol J Butler
- Adam Carroll
- Grace Elaine Cebalt
- Kathleen A Clark
- Clear Chiropractic Granger, LLC
- Complete Smiles, Inc.
- Jennifer Cook
All providers in Bluffton, IN · Multi-Specialty Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.