INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC. (NPI# 1548519572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548519572 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC. |
| Practice Address |
995 S Clarizz Blvd Bloomington IN 47401-5588 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8123533060 |
| Mailing Telephone | 8123536091 |
| Enumeration Date | 2012-09-06 |
| 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 |
| Street Address |
995 S CLARIZZ BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750327 | Susan K Lee | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2005-06-16 |
| 1073084612 | Daniel Wade Rademacher | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2018-12-07 |
| 1114473717 | Miranda Conard | Pharmacist | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2016-09-01 |
| 1881070324 | Christine Boardman | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2015-08-06 |
| 1144576232 | Rebekah Moore | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-07-26 |
| 1003137126 | Mahesh Kumar Sreedasyam | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2010-06-14 |
| 1235396045 | Ryan Niehaus | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-05-20 |
| 1154507978 | Sarah Suzanne Hartung | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-01-10 |
| 1487836409 | Raluca Ioana Vucescu | Internal Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2007-11-30 |
| 1144439506 | Ursula Penrose | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1245797646 | D B Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 2601 General Electric Rd Ste 4, Bloomington, IL 61704-3437 | 2019-02-22 |
| 1538648571 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 702 W Chestnut St Ste 103, Bloomington, IL 61701-2814 | 2018-08-10 |
| 1881193274 | Orthopedic Rehabilitation Supply LLC | Durable Medical Equipment & Medical Supplies | 13 Norbloom Ave, Bloomington, IL 61701-1949 | 2018-02-12 |
| 1821504697 | Wig Wam Boutique LLC | Durable Medical Equipment & Medical Supplies | 313 W 17th St, Bloomington, IN 47404-3453 | 2017-12-15 |
| 1033622824 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1825 N Kinser Pike, Bloomington, IN 47404-1914 | 2017-11-15 |
| 1629509732 | Touchway LLC | Durable Medical Equipment & Medical Supplies | 60 E Broadway, Bloomington, MN 55425-5510 | 2017-03-22 |
| 1437697935 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 445 S Landmark Ave Ste P, Bloomington, IN 47403-5004 | 2017-02-03 |
| 1861875403 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 121 E Kirkwood Ave, Bloomington, IN 47408-3331 | 2015-07-01 |
| 1639479140 | Home Health Depot | Durable Medical Equipment & Medical Supplies | 13 Westport Ct, Unit B, Bloomington, IL 61704-3626 | 2010-10-31 |
| 1316178064 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1130 S Veterans Pkwy, Bloomington, IL 61704 | 2009-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC..
| 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.