AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1639273014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273014 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Practice Address |
101 S. Liberty Street Russiaville IN 46979 |
| Mailing Address |
Po Box 400 Russiaville IN 46979-0400 |
| Practice Telephone | 7658832273 |
| Practice Fax Number | 7658835168 |
| Mailing Telephone | 7658832273 |
| Mailing Fax Number | 7658835168 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | BEN H PARK (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3175806307 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1831236272 | American Health Network of Indiana, LLC | Family Medicine | 10689 N Pennsylvania St, Suite 200, Indianapolis, IN 46280-1070 | 2007-02-01 |
| 1770621161 | American Health Network of Indiana, LLC | Clinical Medical Laboratory | 12188b N Meridian St Ste 350, Carmel, IN 46032-4900 | 2007-02-01 |
| 1730266024 | American Health Network of Indiana, LLC | Internal Medicine | 1101 O Connor Blvd, Monticello, IN 47960-1666 | 2006-11-01 |
| 1114012051 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 8244 Us 36, Suite 1340, Avon, IN 46123 | 2006-10-04 |
| 1902991854 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 300 E. Boyd, Suite 100, Greenfield, IN 46140 | 2006-10-04 |
| 1588759435 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Lebanon St, Lebanon, IN 46052-2792 | 2006-10-04 |
| 1235224189 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 15229 Us 31 North, Westfield, IN 46074 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | AMERICAN HEALTH NETWORK OF INDIANA, LLC | 10689 N. Pennsylvania Street, #200, Indianapolis, IN 46280 |
| Street Address |
101 S. LIBERTY STREET |
| City | RUSSIAVILLE |
| State | IN |
| Zip Code | 46979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487936 | James Cole | Physician Assistant | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| 1639253347 | Lisa Montgomery | Physician Assistant | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-25 |
| 1275616864 | Martha J Hoshaw | Family Medicine | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093933228 | Russiaville Ambulance Service Inc. | Ambulance | 250 N Union St, Russiaville, IN 46979 | 2007-04-23 |
| 1174609150 | Sherri C Nuss | Family Medicine | 101 South Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| 1396306288 | Russiaville Volunteer Fire Department Inc. | Ambulance | 140 E Main St, Russiaville, IN 46979-9121 | 2019-06-22 |
| 1851599971 | Jennifer Erin Sylvester | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2007-07-10 |
| 1790344273 | Rebecca A King | Nurse Practitioner | 101 S Liberty St, Russiaville, IN 46979-9125 | 2019-06-10 |
| 1124419320 | Julie Gunckle | Registered Nurse | 101 S Liberty St, Russiaville, IN 46979-9125 | 2015-02-10 |
| 1902194491 | Board of Trustees of Howard Community Hospital | Clinic/Center | 101 S Liberty St, Russiaville, IN 46979-9125 | 2011-07-18 |
| 1316187552 | Clinton Paul Scruggs | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2009-02-28 |
| 1427689868 | Julie Harless Dorneman | Social Worker | 3617 W 200 S, Russiaville, IN 46979-9139 | 2020-02-03 |
| 1649564584 | Optimal Audiology, LLC | Clinic/Center | 3309 S 750 W, Russiaville, IN 46979-9146 | 2011-06-08 |
| Find all providers in zip 46979 | ||||
| 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 |
|---|---|---|---|---|
| 1851599971 | Jennifer Erin Sylvester | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2007-07-10 |
| 1174609150 | Sherri C Nuss | Family Medicine | 101 South Liberty Street, Russiaville, IN 46979 | 2006-10-31 |
| 1316187552 | Clinton Paul Scruggs | Family Medicine | 101 S Liberty St, Russiaville, IN 46979-9125 | 2009-02-28 |
| 1275616864 | Martha J Hoshaw | Family Medicine | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | RUSSIAVILLE |
| Zip Code | 46979 |
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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.