HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE (NPI# 1104280064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104280064 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE |
| Practice Address |
2101 W Godman Ave Muncie IN 47303-4746 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7049365546 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2101 W GODMAN AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671819 | Healthstat Onsite Clinic Indiana Auto | Preventive Medicine | 1300 Anderson Blvd Ste B, Greenfield, IN 46140-7934 | 2020-02-13 |
| 1225494081 | Healthstat Onsite Clinic-keihin Greenfield | Preventive Medicine | 2098 Fields Blvd, Greenfield, IN 46140-3009 | 2016-01-11 |
| 1659707925 | Healthstat On-site Clinic/vsg | Preventive Medicine | 2700 Lanier Dr, Madison, IN 47250-1753 | 2013-09-18 |
| 1881935070 | Healthstat On-site Clinic/amc | Preventive Medicine | 21600 Monroeville Rd, Monroeville, IN 46773-9623 | 2013-03-13 |
| 1083860563 | Martial Raymond Knieser | Preventive Medicine | 16267 Oakford Trl, Fishers, IN 46037-7391 | 2008-08-15 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1962620807 | Kevin P Short | Preventive Medicine | 1817 I Ave, New Castle, IN 47362-2611 | 2007-04-24 |
| 1730213604 | John William Timothy Jr. | Preventive Medicine | 4747 E 71st St, Indianapolis, IN 46220-3875 | 2007-03-15 |
| 1851434005 | Steven Richard Smith | Preventive Medicine | 12315 Hancock St, Suite - 26, Carmel, IN 46032-5884 | 2007-02-15 |
| 1902946817 | John Douglas Twenty | Preventive Medicine | Dc2111 Lilly Corporate Ctr, Indianapolis, IN 46285-0001 | 2007-02-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE.
| 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.