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DR. GREG M MIELKE M.D.
NPI 1366484099
Specialist in Goshen, IN

Active since June 10, 2006
1111 LIGHTHOUSE LN, GOSHEN, IN 46526(574) 533-0348(574) 533-0277 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Greg M Mielke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREG M MIELKE M.D. (NPI 1366484099) is an individual specialist in Goshen, Indiana, licensed in Indiana (01034860A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366484099
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GREG M MIELKECredential: M.D.
Location Address1111 LIGHTHOUSE LNGoshen, IN 46526-3824
Mailing Address3926 New Vision DrFort Wayne, IN 46845-1712 · (260) 266-8210 · Fax (260) 458-5636
Phone(574) 533-0348
Fax(574) 533-0277
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateOctober 5, 2016
✔ NPI 1366484099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01034860A
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1111 LIGHTHOUSE LN, Goshen, IN 46526
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Other Identifiers 3

Medicare UPIND94743IN
Medicaid100113720IN
Medicare PIN227190IN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY FALTYNSKI APN
Nurse Practitioner
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-8925
GREGORY L TODD M.D.
Obstetrics & Gynecology
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
CATHERINE E BINGER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
DR. NICHOLAS DEFAUW DO
Family Medicine
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (260) 266-4007
MORGAN ELIZABETH DE KLEINE CNM, FNP-BC
Obstetrics & Gynecology (Gynecology)
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
BEVERLY A LOWTHER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
MRS. JENNIFER MARIE WYSONG MMS, PA-C
Physician Assistant
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greg Mielke's NPI number?

The NPI number for Greg Mielke is 1366484099. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Greg Mielke located?

Greg Mielke practices at 1111 Lighthouse Ln, Goshen, IN 46526. The listed phone number is (574) 533-0348.

What is Greg Mielke's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Greg Mielke was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.