DR. CHARLES EDGAR BUSH JR. (NPI# 1255393500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255393500 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDGAR BUSH JR. |
| Credential | MD |
| Practice Address |
1201 Oak St Frankfort IN 46041-3350 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 7656563950 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01017404A | IN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 01017404A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619361680 | Charles Amos Bush II | Student in an Organized Health Care Education/Training Program | 4894 Reynolds Ln, Vestavia, AL 35242-7462 | 2015-03-26 |
| 1265534051 | Charles A Bush | Emergency Medicine | 595 W Carolina Avenue, Hampton Regional Medical Center, Varnville, SC 29944 | 2006-09-02 |
| 1952633661 | Charles Daniel Bush Jr. | Counselor | 460 E Carson Plaza Dr, Suite 122, Carson, CA 90746-3278 | 2010-02-04 |
| 1932243946 | Charles C Bush Jr. | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-16 |
| 1407955354 | Charles T Bush | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-21 |
| 1154361483 | Charles A. Bush | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-06-07 |
| 1972575835 | Charles H Bush | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-02-06 |
| 1356328918 | Charles W Bush | Obstetrics & Gynecology | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2005-12-27 |
| 1659356210 | Charles Ralph Bush | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3525 Olentangy River Rd, #5320, Columbus, OH 43214-3937 | 2005-12-07 |
| Street Address |
1201 OAK ST |
| City | FRANKFORT |
| State | IN |
| Zip Code | 46041-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671345 | Amy M Fradel | Registered Nurse | 1201 Oak St, Frankfort, IN 46041-3350 | 2005-12-27 |
| 1255676854 | St Vincent Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1201 Oak St, Frankfort, IN 46041-3350 | 2012-12-07 |
| 1538353073 | Michelle E Wright Mast | Nurse Practitioner | 1201 Oak St, Frankfort, IN 46041-3350 | 2007-08-28 |
| 1891898326 | Stephen R Clingman | Family Medicine | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-09-07 |
| 1033132360 | Victoria S Bignal | Internal Medicine | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-07-26 |
| 1861454076 | Tamera Lyn Vandegriff | Family Medicine | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-04-04 |
| 1629030820 | Stephen Daniel Tharp | Internal Medicine | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-04-04 |
| 1679535934 | Joseph D Dominik | Family Medicine | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-04-03 |
| 1396706842 | Regina Gayle Fruits | Nurse Practitioner | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1639667868 | Missy Luann Mobley | Pharmacist | 1300 S Jackson Street, Frankfort, IN 46041 | 2018-04-24 |
| 1437679958 | Unity Healthcare, LLC | Family Medicine | 2002 West County Road 0 N/s, Frankfort, IN 46041 | 2017-06-26 |
| 1487048765 | Adriana Lizbeth Olivas | Specialist/Technologist | 750 W Norris Way, Frankfort, IN 46041 | 2015-03-24 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1619221439 | Clinton County Government | Counselor | 55 W Washington St, Frankfort, IN 46041 | 2012-10-31 |
| 1114137825 | Sands Group, Inc. | Occupational Therapy Assistant | 1555 North Main Street, Frankfort, IN 46041 | 2007-05-23 |
| 1861606865 | Clinton County Wic Program | Public Health or Welfare | Clinton County Wic Program, 2120 Washington Avenue, Frankfort, IN 46041 | 2007-05-09 |
| 1962624114 | Clinton Prairie School Corporation | Local Education Agency (LEA) | 4431 W State Road, Frankfort, IN 46041 | 2007-05-03 |
| 1063527620 | Dean D Craft | Dentist | 900 E Walnut St, Frankfort, IN 46041 | 2006-08-21 |
| Find all providers in zip 46041 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453025 | Brett Eaton | General Practice | 1258 S Jackson St, Frankfort, IN 46041-3311 | 2006-10-19 |
| 1376543025 | Mark Bernard Lubienski | General Practice | 372 Red Bud Ct, Frankfort, IL 60423-2128 | 2005-07-22 |
| 1104876317 | St. Vincent Frankfort Hospital, Inc. | General Practice | 1258 Oak St, Suite A, B, Frankfort, IN 46041-3377 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.