AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1255440830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255440830 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Practice Address |
300 E Boyd Ave Suite 100 Greenfield IN 46140-2834 |
| Practice Telephone | 3174625252 |
| Practice Fax Number | 3174628010 |
| Mailing Telephone | 3174625252 |
| Mailing Fax Number | 3174628010 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-06-22 |
| 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 | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100127480A | 05 | |
| IN | DMERC | 0828280006 | 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 |
| 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 |
300 E BOYD AVE SUITE 100 |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739886 | Lawrence Jacob Lo | Obstetrics & Gynecology | 300 E Boyd Ave, Ste 208, Greenfield, IN 46140-2818 | 2005-06-10 |
| 1346613866 | Christine Ohara | Physician Assistant | 300 E Boyd Ave, Suit 100, Greenfield, IN 46140-2834 | 2015-11-05 |
| 1992174825 | Laura E Sims | Nurse Practitioner | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2834 | 2015-09-22 |
| 1275965311 | John Wildman | Physician Assistant | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2013-07-31 |
| 1255774006 | Caitlin Anne Mcgrath | Physician Assistant | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2013-04-11 |
| 1518222553 | Ashley Sevenbergen | Nurse Practitioner | 300 E Boyd Ave, Suite 250, Greenfield, IN 46140-2834 | 2012-07-05 |
| 1881994648 | Pamela A Burnett | Family Medicine | 300 E Boyd Ave, Suite 120, Greenfield, IN 46140-2834 | 2010-10-27 |
| 1730499542 | Dena Kathleen Oconnor | Respiratory Therapist, Certified | 300 E Boyd Ave, Ste 100 American Health Network, Greenfield, IN 46140-8742 | 2010-10-14 |
| 1285965541 | Cheryl Shaw | Dietitian, Registered | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2010-01-26 |
| 1427282763 | Lori Jacquemin Sanford | Dermatology | 300 E Boyd Ave, Ste 209, Greenfield, IN 46140-2834 | 2009-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| 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 |
|---|---|---|---|---|
| 1164879144 | Cindy Nguyen | Family Medicine | 740 W Green Meadows Dr Ste 105, Greenfield, IN 46140-3098 | 2016-05-19 |
| 1376961086 | Breana Christine Cummens | Family Medicine | 4600 W Loomis Rd Ste 130, Greenfield, WI 53220-4858 | 2014-03-31 |
| 1053448936 | Franklin R Thomas | Family Medicine | 489 Bernardston Rd Ste 108, Greenfield, MA 01301-1239 | 2007-02-27 |
| 1598830333 | Milka Mandich | Family Medicine | 4448 W. Loomis Rd, Ste 100, Greenfield, WI 53220-4851 | 2006-11-21 |
| 1548330467 | Aparna S. Shah | Family Medicine | 4455 S 108th St, Greenfield Highlands Health Center, Greenfield, WI 53228-2504 | 2006-11-08 |
| 1730278730 | Malcolm B. Oliver | Family Medicine | 105 N Grand, Suite 2, Greenfield, MO 65661 | 2006-10-11 |
| 1417041773 | Dennis F Lawton | Family Medicine | 300 E. Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2006-10-03 |
| 1518079771 | Parkland Family Physicians Sc | Family Medicine | 4448 W Loomis Road, Suite #101, Greenfield, WI 53220-4817 | 2006-08-31 |
| 1588676522 | Aimee Marie Shirrell | Family Medicine | 808 Oak Ave, Greenfield, CA 93927-5648 | 2006-08-11 |
| 1972519361 | Barbara Ann Hummel | Family Medicine | 4811 S 76th St Ste 201, Greenfield, WI 53220-4364 | 2006-07-31 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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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.