INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC (NPI# 1295153468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295153468 |
Entity Type | Organization |
Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
Practice Address |
642 W Hospital Rd Paoli IN 47454-9672 |
Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
Practice Telephone | 8127237459 |
Mailing Telephone | 8123536091 |
Enumeration Date | 2014-04-03 |
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 |
1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
1225456668 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2900 16th St, Bedford, IN 47421-3510 | 2014-04-02 |
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 |
642 W HOSPITAL RD |
City | PAOLI |
State | IN |
Zip Code | 47454-9672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992703581 | Debbie J Hall | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2005-07-08 |
1053891093 | Brittany Rose Friedman | Speech-Language Pathologist | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2018-08-20 |
1194267757 | Michael Daggy | Nurse Practitioner | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2016-11-14 |
1427430081 | Sergio S. Sales | Family Medicine | 642 W Hospital Rd, Paoli, IN 47454 | 2015-06-19 |
1538426721 | First Urology, Psc | Nurse Practitioner | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2012-04-12 |
1366773350 | Angela M Conklin | Nurse Anesthetist, Certified Registered | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2010-01-15 |
1457519324 | Indiana University Health Paoli Inc | Emergency Medicine | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2008-05-28 |
1548435043 | Indiana University Health Paoli Inc | Ambulance | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2008-04-25 |
1629265517 | Joel Stroud | Physical Therapist | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2007-09-25 |
1477744845 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2007-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144657883 | Jasmita Ranchod | Psychologist | 488 W Hospital Road, Paoli, IN 47454 | 2013-09-26 |
1588928014 | Sarah Jones Whiteman | Nurse Practitioner | 560 W Longest Street, Paoli, IN 47454 | 2012-06-29 |
1538457809 | Total Renal Care Inc | Clinic/Center | 555 W Longest St, Paoli, IN 47454 | 2011-07-20 |
1487983391 | Southeast Township (orange County) Volunteer Fire Company In | Non-emergency Medical Transport (VAN) | 2723 East County Road 725south., Paoli, IN 47454 | 2009-12-24 |
1033341300 | Heather L. Terwiske | Social Worker | 488 W. Hospital Rd., Paoli, IN 47454 | 2009-08-19 |
1295957736 | Linda Carol Wells-freiberger | Nurse Practitioner | 202 Cherry Street, Paoli, IN 47454 | 2007-05-03 |
1215150222 | Roger W Dillman Dds PC | Dentist | 138 S Court Street, Paoli, IN 47454 | 2007-04-10 |
1043394133 | Herbert Ray Stevens | Dentist | 1326 W Leonard Circle, Paoli, IN 47454 | 2006-10-25 |
1083706162 | Glenn Jay Pedersen | Chiropractor | 421 Sw 1st St, Paoli, IN 47454 | 2006-09-28 |
1790795490 | Melissa Price | Social Worker | 946 S Ridgecrest Ln, Paoli, IN 47454 | 2006-08-08 |
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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 |
---|---|---|---|---|
1730694472 | Fusion Healthcare Solutions, LLC | Durable Medical Equipment & Medical Supplies | 30 S Valley Rd Ste 209, Paoli, PA 19301-1473 | 2017-12-04 |
1407937410 | Annabella's | Durable Medical Equipment & Medical Supplies | 36 Chestnut Road, Chestnut Village Shoppes, Paoli, PA 19301-1565 | 2006-10-17 |
1780699678 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 152 E Lancaster Ave, Paoli, PA 19301-1422 | 2006-07-29 |
1487671608 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 735 N Gospel St, Paoli, IN 47454-1419 | 2006-07-16 |
1396791398 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 39 Leopard Rd, Paoli, PA 19301 | 2006-05-25 |
1033186192 | Williams Bros. Health Care Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 889 N Gospel St, Paoli, IN 47454-9217 | 2006-03-07 |
1194258772 | Phoenixville Orthopedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 254 W Lancaster Ave, Paoli, PA 19301-1779 | 2017-04-10 |
1609010123 | Cocco Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 250 W Lancaster Ave, Ste 205, Paoli, PA 19301-1743 | 2009-04-28 |
1053415893 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1776 E Lancaster Ave, Paoli, PA 19301-1550 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598364176 | Jace Medical LLC | Durable Medical Equipment & Medical Supplies | 3516 Commerce Dr, Warsaw, IN 46580-3925 | 2020-10-23 |
1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
1588263628 | Riyff LLC | Durable Medical Equipment & Medical Supplies | 162 W Carmel Dr, Carmel, IN 46032-2526 | 2020-10-20 |
1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
1245844000 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 | 2020-08-31 |
1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
1487272142 | Perennial Health LLC | Durable Medical Equipment & Medical Supplies | 15736 Viking Commander Way, Westfield, IN 46074-7742 | 2020-07-09 |
1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
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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.