INDIANA HEART HOSPITAL, LLC (NPI# 1205816832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205816832 |
| Entity Type | Organization |
| Organization Name | INDIANA HEART HOSPITAL, LLC |
| Practice Address |
8075 N Shadeland Ave Indianapolis IN 46250-2693 |
| Mailing Address |
6233 Reliable Pkwy Chicago IL 60686-0062 |
| Practice Telephone | 3176218000 |
| Practice Fax Number | 3176218111 |
| Mailing Telephone | 3176218000 |
| Mailing Fax Number | 3176218111 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | MS. MARY GAMACHE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3176218057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 003312 | IN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PROVIDER NUMBER | 7786435 | 01 | |
| M PLAN PROVIDER NUMBER | 000000020325 | 01 | |
| IN | 200400370A | 05 | |
| IN | 200484840A | 05 | |
| ANTHEM PROVIDER NUMBER | 000000251112 | 01 | |
| HEALTHMARK PROVIDER NUMBE | 23783HH | 01 |
| Street Address |
8075 N SHADELAND AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1780158352 | Kay Ellen Simon | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2019-01-17 |
| 1831667823 | Jaswinder Jalf | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-11-07 |
| 1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
| 1457887622 | Kelly Ann Lowe | Registered Nurse | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2017-05-10 |
| 1548713290 | Lacey Keller | Registered Nurse | 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 | 2016-07-29 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1780025247 | Community Health Network | General Acute Care Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2013-07-12 |
| 1780021758 | Kendra Marie Storer | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-30 |
| 1356787493 | Jennifer Ruth Heisick | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497119242 | Iu Health | General Acute Care Hospital | 5707 Brockton Dr Apt 307, Indianapolis, IN 46220-5481 | 2016-04-07 |
| 1902219801 | Michael Daniel Weintraub | General Acute Care Hospital | 545 Barnhill Drive, Emerson Hall 202, Indianapolis, IN 46202-9899 | 2014-06-09 |
| 1073858916 | Lisa Fox | General Acute Care Hospital | 7915 Prairie View Dr, Indianapolis, IN 46256 | 2012-12-04 |
| 1922314079 | St. Francis Hospital | General Acute Care Hospital | 7830 Rosebush Dr, Indianapolis, IN 46237-8440 | 2010-08-27 |
| 1144266024 | Indiana University Health Inc | General Acute Care Hospital | 1701 N Senate, Indianapolis, IN 46202-5306 | 2006-06-21 |
| 1235109778 | Community Hospital South, Inc. | General Acute Care Hospital | 1402 E County Line Road S, Indianapolis, IN 46227-9611 | 2006-01-26 |
| 1225589245 | Franciscan Health Indianapolis | General Acute Care Hospital | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2016-10-14 |
| 1043695067 | Patrick Egan | General Acute Care Hospital | 1130 W Michigan St, Fh204, Indianapolis, IN 46202-5209 | 2015-07-21 |
| 1467836684 | Richard L Roudebush Va Medical Center | General Acute Care Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2015-07-17 |
| 1568842490 | Eskenazi Health | General Acute Care Hospital | 1001 W 10th St, Indianapolis, IN 46202-2859 | 2015-06-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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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.