AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1245334259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245334259 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Practice Address |
1115 Ronald Reagan Pkwy Suite 100 Avon IN 46123-6910 |
| Mailing Address |
4850 Century Plaza Rd Suite 180 Indianapolis IN 46254-5476 |
| Practice Telephone | 3172727013 |
| Practice Fax Number | 3172727007 |
| Mailing Telephone | 3172727013 |
| Mailing Fax Number | 3172727007 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-01-08 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | AMERICAN HEALTH NETWORK OF INDIANA, LLC | 10689 N. Pennsylvania Street, #200, Indianapolis, IN 46280 |
| Street Address |
1115 RONALD REAGAN PKWY SUITE 100 |
| 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 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006896 | Richard Salmon | Family Medicine | 5 Hawks Rdg, Avon, CT 06001-4417 | 2016-11-19 |
| 1386095719 | Stephanie L Reynolds | Family Medicine | 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 | 2016-06-27 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1992169700 | Meredith Marie Larson | Family Medicine | 301 Satori Pkwy Ste 200, Avon, IN 46123-6407 | 2016-04-07 |
| 1831486547 | Michael D Buckwalter | Family Medicine | 6845 East Us Highway 36, Ste 600, Avon, IN 46123-8123 | 2011-07-01 |
| 1518096593 | University Primary Care Practices, Inc. | Family Medicine | 1480 Center Rd Ste A, Avon, OH 44011-1239 | 2007-03-05 |
| 1508959487 | Andrew M Cougill | Family Medicine | 1115 N. Ronald Reagan Parkway, Suite 100, Avon, IN 46123-6913 | 2006-10-02 |
| 1790893832 | David Michael Fesak | Family Medicine | 1250 Bur Oak Ct, Avon, IN 46123-9476 | 2006-08-28 |
| 1073526919 | Robert A Rothenberg | Family Medicine | 21 Arts Center Court, Avon, CT 06001-3680 | 2006-08-14 |
| 1669407409 | Suzanne R. Cole | Family Medicine | 8d Canal Ct, Avon, CT 06001-3747 | 2006-07-11 |
| Find all providers in AVON | ||||
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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.