Nes of Sandusky Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

NES OF SANDUSKY INC

Practice address

1101 Michigan Ave
Logansport, IN 46947-1528

Phone

(574) 753-7541

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Moore

Title

Cfo

Phone

(415) 435-4591

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1972978583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31118",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150140",
            "telephone_number": "800-377-8721",
            "fax_number": "304-697-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MICHIGAN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "telephone_number": "574-753-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES OF SANDUSKY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-435-4591"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Myers, NP
• Daniel Andrew Mykut
• Marcia K Nagle, RD
• Chandler Nelson, D.P.T.
• Nes Indiana, Inc.
• Cory Scott Neumann, M.D.
• Jaclyn Martell Newman, BGS
• Adam Newnes
• Stacey Ann Nicely
• Andrea Michelle Nicoles, MSW

• Emergency Medicine Physician in Logansport, IN
• Providers in Logansport, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.