Healthcare Provider Details

I. General information

NPI: 1871987735
Provider Name (Legal Business Name): JAMIE MARIE O'REAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. JAMIE M CANTER

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ARCADE AVE STE 320
ELKHART IN
46514-2477
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 574-523-7900
  • Fax: 574-523-7909
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01084265A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: