BALL STATE UNIVERSITY


Address: Hp 260, Muncie, IN 47306-0001
Phone: 7652854469

BALL STATE UNIVERSITY (NPI# 1295137925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295137925
Entity Type Organization
Organization Name BALL STATE UNIVERSITY
Other Organization Name BALL STATE SPORTS MEDICINE
Practice Address Hp 260
Muncie
IN 47306-0001
Mailing Address 5050 Spring Valley Rd
Dallas
TX 75244-3995
Practice Telephone 7652854469
Practice Fax Number 7652854470
Mailing Telephone 8005559073
Mailing Fax Number 9723673452
Enumeration Date 2014-09-25
Last Update Date 2014-09-25
Authorized Official Name NEAL HAZEN (HEAD ATHLETICS TRAINER)
Authorized Official Telephone 7652854469
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Ball State Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093937476 Ball State University Audiologist 2000 W University Ave, Ac 104, Muncie, IN 47306-1022 2007-05-03

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Ball State University Foundation, Inc. 2800 West Bethel Avenue, Muncie, IN 47304

Office Location

Street Address HP 260
City MUNCIE
State IN
Zip Code 47306-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457850406 Daniel Yats Specialist/Technologist 2000 W. University Ave. Hp 260, Muncie, IN 47306 2018-02-06
1396151478 Dorice Hankemeier Specialist/Technologist Ball State University, Hp 328, Muncie, IN 47306 2014-07-09
1114994191 Lisa S Jutte Specialist/Technologist 1740 Neely, Ball State University; Speses, Hp 222h, Muncie, IN 47306 2006-03-08
1073587622 Stacy Walker Specialist/Technologist Health Professions Building 439, Ball State University, Muncie, IN 47306 2006-02-13
1285283556 Joseph Lee Zimmerman Specialist/Technologist Ball State University 2000 W University Ave, Muncie, IN 47306-0001 2019-09-09
1568960680 April Nicole Mcelroy-rubush Nurse Practitioner 1500 Neely Avenue, Muncie, IN 47306-0001 2018-01-23
1487833109 Jennifer S Davis Nurse Practitioner Ball State University Student Health Center, 1500 Neely Ave., Muncie, IN 47306-0001 2007-10-30
1760604201 Claudia Diane Updike Audiologist Ball State University Audiology Clinic, Muncie, IN 47306-0001 2007-05-03
1033232756 Kirk John Armstrong Specialist/Technologist Ball State Univesity, 2000 W. University Blvd, Muncie, IN 47306-0001 2007-04-09
1891851747 Diana Lynn Jones Nurse Practitioner 1500 Neeley Ave Rm 211, Muncie, IN 47306-0001 2006-12-28
Find all providers in zip 47306

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225144744 Central Indiana Orthopedics PC Family Medicine 3631 N Morrison Rd, Suite 200, Muncie, IN 47304-5547 2006-08-21
1124034038 Jeremy J. Hunt Family Medicine 3600 W Bethel Ave, Muncie, IN 47304-5407 2006-07-31
1295741197 Kenneth H. Haller Family Medicine 3600 W Bethel Ave, Muncie, IN 47304-5407 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962061135 Central Indiana Orthopedics, PC Family Medicine 14300 E 138th Bldg B, Fishers, IN 46037-0087 2019-06-11
1104326909 Orthopaedic Associates, Inc. Family Medicine 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 2018-02-19
1700231313 Heather Saffel Family Medicine 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 2016-05-02
1922477686 Orthopaedic Associates, Inc. Family Medicine 5828 Pearl Dr, Evansville, IN 47712-8116 2015-09-23
1992118822 Zachary Conner Ritchie Family Medicine 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 2014-06-09
1740692078 Joel Jaeger Family Medicine 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 2014-05-21
1457652992 Martha Ann Taylor Family Medicine 105 Hendron Hills Dr, Vincennes, IN 47591-3638 2010-11-16
1649598707 Rajih Y Haddawi Family Medicine 2631 S Atlee St, Bloomington, IN 47401-4536 2010-05-12
1538300561 Michael Robert Messmer Family Medicine 3221 Beacon Parkway, Granger, IN 46530 2009-03-21
1558551382 Jerry Edward Blythe Family Medicine 8045 Broadway St, Indianapolis, IN 46240-2502 2007-07-27
Find all providers with the same taxonomy

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City MUNCIE
Zip Code 47306

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Dataset Information

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.

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