NIKKI L O'ROURKE


Address: 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381
Phone: 3174290120

NIKKI L O'ROURKE (NPI# 1336377670) 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) 1336377670
Entity Type Individual
Full Name NIKKI L O'ROURKE
Credential NP
Practice Address 1919 E 52nd St Ste 200
Indianapolis
IN 46205-1381
Practice Telephone 3174290120
Mailing Telephone 3174290120
Mailing Fax Number 3178007730
Enumeration Date 2009-06-25
Last Update Date 2019-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
71002948A IN Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
71002948A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201108760 05

Office Location

Street Address 1919 E 52ND ST STE 200
City INDIANAPOLIS
State IN
Zip Code 46205-1381

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922569904 Twynea Manning Nurse Practitioner 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 2019-03-30
1457851628 Sonia Grace Registered Nurse 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 2018-02-14

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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://wwwtheabfm.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.

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NPI Name Taxonomy Address Enumeration
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1780777177 Lula G. Porter Family Medicine 4666 Radnor Road, Indianapolis, IN 46226-2154 2006-09-30
1588122162 Physician Solutions Family Medicine 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 2019-03-04
1689053290 Erin Ray Family Medicine 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 2015-05-28
1548596372 Grace Divine, LLC Family Medicine 5256 E 65th St, Indianapolis, IN 46220-4819 2009-10-29
1649417262 Community Hospitals of Indiana Inc Family Medicine 10122 E 10th Street, Suite 220, Indianapolis, IN 46229-2664 2009-01-20
1811932528 Robert F. Lebow Md. LLC Family Medicine 907 E Michigan St, Indianapolis, IN 46202-3625 2006-06-17

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1316550445 Indiana University Health Fort Wayne Physicians, LLC Family Medicine 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 2020-08-28
1356864219 Mobile Primary Care, LLC Family Medicine 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 2017-07-24
1962822106 Patient Care Services Team Family Medicine 939 Conner St Ste 200, Noblesville, IN 46060-2622 2014-04-25
1396002408 Indiana Home Care Physicians Inc Family Medicine 7895 Broadway Ste V, Merrillville, IN 46410-5529 2012-04-13
1932304417 George W Merkle Md PC Family Medicine 360 N Main St Ste A, Bluffton, IN 46714-2041 2007-06-15
1891871026 Mohammad A Rahmany Family Medicine 2914 Highway Ave, Highland, IN 46322-1656 2006-10-31
1194775569 Bruce Everette Burton Family Medicine 1263 Hospital Drive Nw, Suite 240, Corydon, IN 47112-2172 2006-05-10
1003887498 Harry Stoller Family Medicine 18444 Madison Rd, South Bend, IN 46614-9799 2006-02-01
1588635650 Linda S Morse Family Medicine 105 Hillcrest Ct, Ossian, IN 46777-9053 2006-01-27
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Competitor

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City INDIANAPOLIS
Zip Code 46205

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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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