AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1164528543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164528543 |
Entity Type | Organization |
Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
Practice Address |
1115 Ronald Reagan Pkwy Suite 224 Avon IN 46123-6910 |
Mailing Address |
4850 Century Plaza Rd Suite 180 Indianapolis IN 46254-5476 |
Practice Telephone | 3172727352 |
Practice Fax Number | 3172720984 |
Mailing Telephone | 3172727352 |
Mailing Fax Number | 3172720984 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-10-30 |
Authorized Official Name | BEN H PARK (PRESIDENT AND CEO) |
Authorized Official Telephone | 3175806307 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RAILROAD MEDICARE | CH1019 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
1831236272 | American Health Network of Indiana, LLC | Family Medicine | 10689 N Pennsylvania St, Suite 200, Indianapolis, IN 46280-1070 | 2007-02-01 |
1770621161 | American Health Network of Indiana, LLC | Clinical Medical Laboratory | 12188b N Meridian St Ste 350, Carmel, IN 46032-4900 | 2007-02-01 |
1730266024 | American Health Network of Indiana, LLC | Internal Medicine | 1101 O Connor Blvd, Monticello, IN 47960-1666 | 2006-11-01 |
1114012051 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 8244 Us 36, Suite 1340, Avon, IN 46123 | 2006-10-04 |
1902991854 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 300 E. Boyd, Suite 100, Greenfield, IN 46140 | 2006-10-04 |
1588759435 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Lebanon St, Lebanon, IN 46052-2792 | 2006-10-04 |
1235224189 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 15229 Us 31 North, Westfield, IN 46074 | 2006-10-04 |
Street Address |
1115 RONALD REAGAN PKWY SUITE 224 |
City | AVON |
State | IN |
Zip Code | 46123-6910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679573620 | James C Sloan | Urology | 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 | 2005-07-29 |
1487111274 | Ann Shackelford Reeves | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2019-02-27 |
1215412432 | Heather Renee Seaborne | Registered Nurse | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2018-10-03 |
1770959744 | Chelsea Durnil | Pharmacist | 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 | 2015-08-13 |
1578961314 | Urology of Indiana L.l. C. | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Suite 247, Avon, IN 46123-6910 | 2014-12-10 |
1639445315 | Thomas A Brady Sports Medicine Ctr | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2012-03-28 |
1912290925 | Kyle Andrew Frick | Internal Medicine | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2011-05-24 |
1831405422 | Amanda N Crishon | Audiologist | 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 | 2010-08-20 |
1831410703 | Robert Neal Ingram | Registered Nurse | 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910 | 2010-06-15 |
1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
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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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639327612 | Roshni Venugopal | Surgery | 3382 Burgundy Cir, Avon, OH 44011-2590 | 2008-09-03 |
1518940204 | Connecticut Surgical Group, PC | Surgery | 120 Simsbury Rd, Avon, CT 06001-3735 | 2005-11-28 |
1699779579 | Bruce Christopher Inman | Surgery | 8244 E Us Highway 36, Ste 1210, Avon, IN 46123-9688 | 2005-06-09 |
1376704056 | Indiana Crh Surgeons, P.C. | Surgery | 1111 Ronald Reagan Pkwy, #b-1540, Avon, IN 46123-7085 | 2008-06-24 |
1356537369 | Indiana Surgery, PC | Surgery | 8244 E Us Highway 36, Suite 1210, Avon, IN 46123-9575 | 2007-09-24 |
1164517439 | William S Sobat | Surgery | 1111 Ronald Reagan Pkwy, Suite #b-1540, Avon, IN 46123-7085 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
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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.