INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC (NPI# 1225456668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225456668 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
| Practice Address |
2900 16th St Bedford IN 47421-3510 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8122796506 |
| Mailing Telephone | 8123536091 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MR. MICHAEL CRAIG (CFO) |
| Authorized Official Telephone | 8123539554 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082350 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-09-13 |
| 1033537030 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 9 N Crane Ave, Spencer, IN 47460-1507 | 2014-04-07 |
| 1740608926 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-04-03 |
| 1295153468 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2014-04-03 |
| 1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
| 1366600231 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 9 N Crane Ave, Spencer, IN 47460-1507 | 2008-05-28 |
| 1003074972 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 7 E Main St, Gosport, IN 47433-7034 | 2008-05-28 |
| 1619199155 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2007-05-03 |
| 1013953983 | Indiana University Health Southern Indiana Physicians, Inc | Emergency Medicine | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2006-06-21 |
| Street Address |
2900 16TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375624 | James B Rickert I | Orthopaedic Surgery | 2900 16th St, Bedford, IN 47421-3510 | 2005-06-08 |
| 1093329963 | Tamara Behen | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-09-08 |
| 1437771060 | Jennifer Leighanne Cooper | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-05-18 |
| 1780204230 | Ladonna Stroud | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-04-24 |
| 1619518867 | Emily Hicks | Pharmacist | 2900 16th St, Bedford, IN 47421-3510 | 2019-09-30 |
| 1376028001 | Brandee Starr Sullivan | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2018-09-28 |
| 1366922874 | Melinda T Pace | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2018-08-15 |
| 1598259020 | Ashleigh Whiteman | Occupational Therapist | 2900 16th St, Bedford, IN 47421-3510 | 2018-06-18 |
| 1104338623 | Holly L Russell | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2017-10-25 |
| 1144767138 | Whitney Garner | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2017-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1871080630 | Caring Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 5311 Northfield Rd Ste 201, Bedford, OH 44146-1135 | 2018-04-17 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1548667447 | Acg Medical Supply Incorporated | Durable Medical Equipment & Medical Supplies | 2101 Harwood Rd, Ste 126, Bedford, TX 76021-4708 | 2014-11-21 |
| 1932513611 | Advoclaim, LLC | Durable Medical Equipment & Medical Supplies | 1 Hardy Rd, Suite 228, Bedford, NH 03110-4915 | 2014-06-20 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1508143520 | Mattshow Inc. | Durable Medical Equipment & Medical Supplies | 22939 Broadway Ave, Bedford, OH 44146-6068 | 2011-11-04 |
| 1952683138 | Equipment Shop Inc. | Durable Medical Equipment & Medical Supplies | 34 Hartford St, Bedford, MA 01730-2246 | 2011-09-14 |
| 1093964983 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 4 Jenkins Rd, Bedford, NH 03110-5038 | 2008-09-16 |
| 1124218383 | Marlen Mfg. & Development Company | Durable Medical Equipment & Medical Supplies | 5150 Richmond Rd, Bedford, OH 44146-1331 | 2007-07-25 |
| Find all providers in BEDFORD | ||||
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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.