SOUTH INDY FAMILY PRACTIVE (NPI# 1659512796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659512796 |
| Entity Type | Organization |
| Organization Name | SOUTH INDY FAMILY PRACTIVE |
| Practice Address |
5545 E Stop 11 Rd Indianapolis IN 46237-8616 |
| Practice Telephone | 3178842000 |
| Practice Fax Number | 3178842010 |
| Mailing Telephone | 3178842000 |
| Mailing Fax Number | 3178842010 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | DR. PATRICIA MARIE ENGLISH (PRESIDENT) |
| Authorized Official Telephone | 3178842000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
01042919A | IN | Ambulatory Health Care Facilities |
| Street Address |
5545 E STOP 11 RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902818495 | Christina R Hardwick | Physician Assistant | 5545 E Stop 11 Rd, Indianapolis, IN 46237-8616 | 2006-08-12 |
| 1073152682 | Kristen Schoonover | Behavioral Analyst | 5545 E Stop 11 Rd, Indianapolis, IN 46237-8616 | 2019-12-30 |
| 1003969510 | Jenette Buening | Physician Assistant | 5545 E Stop 11 Rd, Indianapolis, IN 46237-8616 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1558724658 | Abundant Home Healthcare LLC | Clinic/Center | 7801 Sailors Ln, Indianapolis, IN 46254-9607 | 2016-04-05 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1336315563 | St. Vincent Health Services | Clinic/Center | 2001 W 86th Street, Indianapolis, IN 46280-1902 | 2008-05-07 |
| 1871717439 | Good Samaritan Health Clinic | Clinic/Center | 2716 E. Washington Street, Indianapolis, IN 46206-1871 | 2007-04-12 |
| 1568415982 | Nuclear Cardiology Centers, Inc | Clinic/Center | 7855 S Emerson Ave Suite N, Indianapolis, IN 46237-8669 | 2006-05-18 |
| 1457984064 | Heroh Functional Institute PC | Clinic/Center | 8425 Castleton Corner Dr, Indianapolis, IN 46250-3580 | 2020-02-21 |
| 1265063622 | Tracey Williams | Clinic/Center | 55 S State Ave, Indianapolis, IN 46201-3802 | 2020-02-03 |
| 1679015028 | Dr Hill Eye Care | Clinic/Center | 8230 Rockville Rd, Indianapolis, IN 46214-3113 | 2016-11-15 |
| 1609323708 | Carrie B. Boyd Healthcare Center | Clinic/Center | 5555 N Tacoma Ave, 12, Indianapolis, IN 46220-3512 | 2016-09-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on SOUTH INDY FAMILY PRACTIVE.
| 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.