FIRSTLINES, TJS, LLC


Address: 11725 Illinois St Ste 550, Carmel, IN 46032-3009
Phone: 3178144111

FIRSTLINES, TJS, LLC (NPI# 1447866462) 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) 1447866462
Entity Type Organization
Organization Name FIRSTLINES, TJS, LLC
Practice Address 11725 Illinois St Ste 550
Carmel
IN 46032-3009
Practice Telephone 3178144111
Practice Fax Number 3178142923
Mailing Telephone 3178144111
Mailing Fax Number 3178142923
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Authorized Official Name DR. TIMOITHY JAMES STORY (PHYSICIAN)
Authorized Official Telephone 3178144111
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 11725 ILLINOIS ST STE 550
City CARMEL
State IN
Zip Code 46032-3009

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1962069088 Dei of Indiana, Inc. Optometrist 3985 W. 106th Street, Suite 120, Carmel, IN 46032 2019-05-23
1427518737 Ayesha Kias Physical Therapist Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 2019-03-22
1104305952 Megan Nicole Neitling Counselor 600 E Carmel Dr Ste 146, Carmel, IN 46032 2018-08-13
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1326533837 Emily Jo Hardy Physical Therapy Assistant Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 2018-06-27
1770086845 Erin Reagan Occupational Therapist 1118 Havest Ct., Carmel, IN 46032 2018-03-14
1356859748 Maricelia Serrano Physical Therapy Assistant Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 2018-01-19
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1376770883 Putnam Obstetrics & Gynecology P.C. Clinic/Center 660 Stoneleigh Ave, Carmel, NY 10512-2466 2009-06-11

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1275001489 Decatur County Memorial Hospital Clinic/Center 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 2018-11-06
1285164509 Better Quality of Life Care Md, PC Clinic/Center 8334 Beech Ave, Munster, IN 46321-1440 2017-06-19
1639622236 Fordem Health, LLC Clinic/Center 1313 Park Dr, Munster, IN 46321-2634 2016-07-31
1447619747 Sanford Dermatology Clinic/Center 400 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3205 2016-02-15
1306222757 Midwest Wellness LLC Clinic/Center 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 2015-08-08
1053657775 Earthen Vessels Nurse Midwifery LLC Clinic/Center 251 Airport North Office Park, Fort Wayne, IN 46825-6702 2012-12-27
1861757023 Integrative Therapeutics LLC Clinic/Center 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 2012-07-12
1093953234 Wabash Valley Infectious Diseases Clinic LLC Clinic/Center 2112 S 3rd St, Terre Haute, IN 47802-3045 2009-01-27
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Competitor

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City CARMEL
Zip Code 46032

Improve Information

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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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