COMMUNITY PHYSICIANS OF INDIANA INC (NPI# 1619105244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619105244 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Practice Address |
7240 Shadeland Station Suite 300 Indianapolis IN 46256-3944 |
| Practice Telephone | 3176219748 |
| Practice Fax Number | 3173558716 |
| Mailing Telephone | 3176219748 |
| Mailing Fax Number | 3173558716 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | TIMOTHY HOBBS (CEO) |
| Authorized Official Telephone | 3176217474 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000647913 | 01 |
| IN | 200969250D | 05 | |
| IN | 200969250H | 05 | |
| IN | 200969250A | 05 | |
| IN | 200969250E | 05 | |
| IN | 200969250M | 05 | |
| IN | 200969250F | 05 | |
| IN | 200969250G | 05 | |
| IN | 200969250J | 05 | |
| IN | 200969250B | 05 | |
| IN | 200969250C | 05 | |
| IN | 200969250I | 05 | |
| IN | 201014430T | 05 | |
| IN | 201018890G | 05 | |
| IN | 200969250K | 05 | |
| IN | 200969250L | 05 | |
| IN | 201006200O | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1265945810 | Community Physicians of Indiana Inc | Podiatrist | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236-9554 | 2017-11-06 |
| 1154779502 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 3660 Guion Rd, Suite 310, Indianapolis, IN 46222-1691 | 2016-05-26 |
| 1093190381 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 9669 E 146th St, Suite 330, Noblesville, IN 46060-5006 | 2015-07-28 |
| 1730564014 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 8040 Clearvista Pkwy, Suite 440, Indianapolis, IN 46256-4673 | 2015-07-28 |
| 1265817076 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 1030 E County Line Rd, Suite B3, Indianapolis, IN 46227-2932 | 2015-07-22 |
| 1518342328 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 3025 N Oakwood Ave, Muncie, IN 47304-2261 | 2015-07-22 |
| 1962886341 | Community Physicians of Indiana Inc | Podiatrist | 3077 E 98th St, Suite 100, Indianapolis, IN 46280-1969 | 2015-07-15 |
| 1881078202 | Community Physicians of Indiana Inc | Podiatrist | 3660 Guion Rd, Suite 230b, Indianapolis, IN 46222-1691 | 2015-07-15 |
| 1396083028 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 1400 N Ritter Ave, Suite 351, Indianapolis, IN 46219-3049 | 2013-01-31 |
| Street Address |
7240 SHADELAND STATION SUITE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861778607 | Ahmad S Ali | Nurse Practitioner | 7240 Shadeland Station, Suite 300, Indianapolis, IN 46256-3944 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
Please comment or provide details below to improve the information on COMMUNITY PHYSICIANS OF INDIANA 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.