AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI# 1679677702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679677702 |
| Entity Type | Organization |
| Organization Name | AMERICAN HEALTH NETWORK OF INDIANA, LLC |
| Practice Address |
1111 Ronald Reagan Pkwy Suite 1600 Avon IN 46123-7085 |
| Mailing Address |
6820 Parkdale Pl Suite 200 Indianapolis IN 46254-6601 |
| Practice Telephone | 3173297430 |
| Practice Fax Number | 3173297485 |
| Mailing Telephone | 3173297430 |
| Mailing Fax Number | 3173297485 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2009-05-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100133190J | 05 |
| 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 |
| Street Address |
1111 RONALD REAGAN PKWY SUITE 1600 |
| City | AVON |
| State | IN |
| Zip Code | 46123-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249990 | Chun L Ng | Emergency Medicine | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2005-10-18 |
| 1558978353 | Ann Allison | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-25 |
| 1841804549 | Erica Newkirk | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-01 |
| 1750901302 | Dawn M Hinshaw | Pharmacy Technician | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-04-23 |
| 1518590504 | Emily W Peat | Registered Nurse | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-18 |
| 1679105878 | Joni Ann Fiscus | Dietitian, Registered | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-06 |
| 1215572979 | Isioma Oladunni Nosegbe | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-16 |
| 1053956656 | Adam Jones | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-07 |
| 1437717295 | Vanessa D Scott | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-06-05 |
| 1881250058 | Olivia Lyn Beaver | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851496061 | Patricia Defusco | Internal Medicine | 80 Fisher Drive, Hartford Hospital Cancer Center, Avon, CT 06001 | 2006-09-13 |
| 1316994148 | Sridhar Reddy Bolla | Internal Medicine | 8244 E Us Highway 36 Ste 1340, Avon, IN 46123-9688 | 2006-05-27 |
| 1285243618 | Hendricks County Hospital | Internal Medicine | 8244 E Us Highway 36 Ste 1340, Avon, IN 46123-9688 | 2020-07-31 |
| 1033405931 | Larisa Schwartzman | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2011-06-20 |
| 1588847156 | Adriana Lorena Alvarez | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2007-12-06 |
| 1467460998 | American Health Network of Indiana, LLC | Internal Medicine | 5250 East Us 36, Suite 655, Avon, IN 46123 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
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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.