MERIDIAN MEDICAL GROUP PC (NPI# 1033167499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033167499 |
| Entity Type | Organization |
| Organization Name | MERIDIAN MEDICAL GROUP PC |
| Practice Address |
1115 N Ronald Reagan Pkwy Suite 347 Avon IN 46123 |
| Mailing Address |
1801 N Senate Blvd Suite 400 Indianapolis IN 46202 |
| Practice Telephone | 3172172111 |
| Practice Fax Number | 3172172110 |
| Mailing Telephone | 3179626300 |
| Mailing Fax Number | 3179622346 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | ROBIN A WALTER (ADMINISTRATOR) |
| Authorized Official Telephone | 3179625870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
050037961 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100380420B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154458578 | Meridian Medical Group PC | Internal Medicine | 1801 N Senate Blvd, Suite 400, Indianapolis, IN 46202 | 2007-02-27 |
| 1568410926 | Meridian Medical Group PC | Clinic/Center | 1801 N Senate Blvd, Suite 400, Indianapolis, IN 46202 | 2006-05-05 |
| Street Address |
1115 N RONALD REAGAN PKWY SUITE 347 |
| City | AVON |
| State | IN |
| Zip Code | 46123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255327706 | Darren Caudill | Internal Medicine | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2005-09-21 |
| 1770952566 | John A Ward | Physician Assistant | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2015-09-22 |
| 1528435427 | Jennifer L Woodard | Clinical Nurse Specialist | 1115 N Ronald Reagan Pkwy, Ste 141, Avon, IN 46123-6913 | 2015-08-26 |
| 1003107517 | Joseph Tien-yo Lee | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 206, Avon, IN 46123-6911 | 2011-05-02 |
| 1104117167 | Drew A Kepple | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 141, Avon, IN 46123-6913 | 2011-04-26 |
| 1710277298 | Allison C Burke | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 206, Avon, IN 46123-6911 | 2011-04-18 |
| 1952602997 | Joshua G Elzinga | Audiologist | 1115 N Ronald Reagan Pkwy, Suite 255, Avon, IN 46237-6341 | 2010-11-08 |
| 1689832834 | Mark A Unroe | Internal Medicine | 1115 N Ronald Reagan Pkwy, Avon, IN 46123-6911 | 2008-05-23 |
| 1891981304 | Sheethu Sadasivan | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 206, Avon, IN 46123-6911 | 2007-09-18 |
| 1942494307 | Tracy P Murray | Family Medicine | 1115 N Ronald Reagan Pkwy, Suite 141, Avon, IN 46123-6913 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811172729 | Indiana Endoscopy Centers LLC | Clinic/Center | 1115 Ronald Reagan Pkwy Ste 347, Avon, IN 46123-6914 | 2008-01-09 |
| 1245868488 | Avon Surgery Center, LLC | Clinic/Center | 36991 American Way, Avon, OH 44011-4060 | 2020-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.