OURHEALTH PHYSICIAN GROUP, LLC (NPI# 1639782964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639782964 |
| Entity Type | Organization |
| Organization Name | OURHEALTH PHYSICIAN GROUP, LLC |
| Practice Address |
2350 N Shadeland Ave Indianapolis IN 46219-1736 |
| Mailing Address |
10 W Market St Ste 2900 Indianapolis IN 46204-2964 |
| Practice Telephone | 8664343255 |
| Mailing Telephone | 8664343255 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JEFFREY MICHAEL WELLS (PRESIDENT) |
| Authorized Official Telephone | 3175220823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003382243 | Ourhealth Physician Group, LLC | Clinic/Center | 2188 Kings Mills Rd, Mason, OH 45040-2400 | 2018-10-15 |
| 1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
| 1487120788 | Ourhealth Physician Group, LLC | Clinic/Center | 11568 Springfield Pike, Springdale, OH 45246-3527 | 2018-10-15 |
| 1265920409 | Ourhealth Physician Group, LLC | Clinic/Center | 2621 N Morton St, Franklin, IN 46131-8820 | 2018-04-24 |
| 1619473360 | Ourhealth Physician Group, LLC | Clinic/Center | 11787 Lantern Rd Ste 200, Fishers, IN 46038-2801 | 2018-04-02 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1891037164 | Ourhealth Physician Group, LLC | Clinic/Center | 121 N Terrace Dr, Culver, IN 46511-1222 | 2013-03-25 |
| 1881965606 | Ourhealth Physician Group, LLC | Clinic/Center | 535 College Dr, Suite 100, Carmel, IN 46032-5622 | 2012-01-25 |
| 1467086660 | Ourhealth Physician Group, LLC | Clinic/Center | 5800 Northampton Blvd, Norfolk, VA 23502-5513 | 2020-02-26 |
| Street Address |
2350 N SHADELAND AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467970269 | Activate Healthcare - Mep Clinic | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071710 | Ivx Health of Indiana PC | Clinic/Center | 9510 N Meridian St Ste D, Indianapolis, IN 46260-1333 | 2020-07-23 |
| 1659835239 | Amity Homecare and Dialysis Services LLC | Clinic/Center | 6529 Tram Ct, Indianapolis, IN 46260-4585 | 2019-01-28 |
| 1619458940 | Indiana Care Organization, LLC | Clinic/Center | 10689 N Pennsylvania St Ste 200, Indianapolis, IN 46280-1099 | 2018-08-24 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1407232648 | Workplace Health Services, LLC | Clinic/Center | 604 E Legrande Ave, Indianapolis, IN 46203-3907 | 2015-08-10 |
| 1174909311 | Workplace Health Services, LLC | Clinic/Center | 8401 Westfield Blvd, Door 19a South, Indianapolis, IN 46240-2367 | 2015-08-10 |
| 1497187991 | Indiana University Health Advanced Heart & Lung Clinic | Clinic/Center | 1801 N. Sentate Blvd., Ste 2000, Indianapolis, IN 46202 | 2013-08-07 |
| 1720358047 | Brian Watters Dc LLC | Clinic/Center | 11691 Fall Creek Rd Ste 110, Indianapolis, IN 46256-9448 | 2012-01-03 |
| 1295938116 | Counseling of Indiana Inc. | Clinic/Center | 3607 W 16th St, Suite2b, Indianapolis, IN 46222-2558 | 2007-06-07 |
| 1952516437 | Tlc The Laser Center (indiana) LLC | Clinic/Center | 5875 Castle Creek Parkway, Ste. 136, Indianapolis, IN 46250 | 2007-05-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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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.