Basic Information
| Provider Information | |||||||||
| NPI: | 1285758250 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BADDING | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 710 N NILES AVE | ||||||||
| Address2: | |||||||||
| City: | SOUTH BEND | ||||||||
| State: | IN | ||||||||
| PostalCode: | 466171924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5746471610 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3301 COUNTY ROAD 6 E | ||||||||
| Address2: | |||||||||
| City: | ELKHART | ||||||||
| State: | IN | ||||||||
| PostalCode: | 465147673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5742649635 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2007 | ||||||||
| LastUpdateDate: | 06/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036055074 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01070958 | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000861272 | 01 | IN | BCBS MEDPOINT IRELAND RD | OTHER | 000000859615 | 01 | IN | BCBS MED POINT CR6 | OTHER | 1619414 | 01 | IL | BCBS GROUP | OTHER | 000000861272 | 01 | IN | BCBS MED POINT MAIN ST | OTHER | 036055074-1&2 | 05 | IL | MEDICAID | 201064960 | 05 | IN | MEDICAID | P01450746 | 01 | IN | RR MEDICARE | OTHER |