INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. (NPI# 1699094870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699094870 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. |
| Other Organization Name | IU HEALTH BALL MEMORIAL PHYSICIANS |
| Practice Address |
1809 S Main St Upland IN 46989-9242 |
| Mailing Address |
221 N Celia Ave Attn: Debera Barker Muncie IN 47303-4609 |
| Practice Telephone | 7659926200 |
| Practice Fax Number | 7659986204 |
| Mailing Telephone | 7652828905 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | JANET L VANGETS (DIRECTOR/OFFICER) |
| Authorized Official Telephone | 7657515404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | DQ6230 | 01 |
| IN | 200991210A | 05 |
| Other Name | Type Code |
|---|---|
| IU Health Ball Memorial Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376854935 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 1500 Neely Ave, Room 008, Muncie, IN 47306-0816 | 2010-06-29 |
| 1598085409 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 349 W 1st St, Albany, IN 47320-1705 | 2010-06-03 |
| 1679893580 | Indiana University Health Ball Memorial Physicians, Inc. | Pediatrics | 205 N Tillotson Ave, Suite 102, Muncie, IN 47304-3990 | 2010-06-03 |
| 1114247020 | Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | 215 S Hutchinson Ave, Muncie, IN 47303-4774 | 2010-06-03 |
| 1568782373 | Indiana University Health Ball Memorial Physicians, Inc. | Pediatrics | 205 N Tillotson Ave, Suite 201b, Muncie, IN 47304-3996 | 2010-06-03 |
| 1124348032 | Indiana University Health Ball Memorial Physicians, Inc. | Pediatrics | 205 N Tillotson Ave, Muncie, IN 47304-3900 | 2010-06-03 |
| 1275852477 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 1500 Neely Ave, Muncie, IN 47306-0001 | 2010-05-27 |
| 1275852451 | Indiana University Health Ball Memorial Physicians, Inc. | Nurse Practitioner | 4870 E Jackson St, Muncie, IN 47303-4432 | 2010-05-27 |
| 1710206990 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2010-05-27 |
| 1043539232 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 | 2010-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. | 2401 West University Ave, Muncie, IN 47303 |
| Street Address |
1809 S MAIN ST |
| City | UPLAND |
| State | IN |
| Zip Code | 46989-9242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973702 | Helen G Riegle | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| 1972740868 | Midwest Healthstrategies, Inc. | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2009-01-14 |
| 1902996390 | Susan Marie Ralston | Pharmacist | 1809 S Main St, Upland, IN 46989 | 2006-10-13 |
| 1972619948 | Central Indiana Orthopedics PC | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-08-22 |
| 1962433763 | Cardinal Health Partners, LLC | Family Medicine | 1809 S Main St, Upland, IN 46989 | 2006-07-06 |
| 1669411245 | Stephen A Phillips | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-06-06 |
| 1801862677 | Shannon D Riegle | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| 1942276720 | Heidi M Lakanen | Internal Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740621440 | Erin L Hewitt | Occupational Therapy Assistant | 33 E Washington St, Apt B, Upland, IN 46989 | 2013-07-10 |
| 1972663110 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1564 University Blvd, Upland, IN 46989 | 2006-12-11 |
| 1528559697 | Anne E Campbell | Nurse Practitioner | 1809 S Main Street, Upland, IN 46989 | 2018-05-24 |
| 1285939306 | Troy Frederick Tiberi | Counselor | 63 N Main St, Upland, IN 46989 | 2011-01-20 |
| 1730157546 | Emily Ann Tumbleson | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2006-03-08 |
| 1033520614 | Kenneth Hackman | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2014-05-16 |
| 1639508351 | Patience Ramsey | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2013-11-04 |
| 1699719542 | Jeffrey Wayne Marsee | Health Educator | 236 W Reade Ave, Health and Exercise Science, Upland, IN 46989-1001 | 2006-06-15 |
| 1639701279 | Bruce Holder | Counselor | 525 S Main St, Upland, IN 46989-9101 | 2020-02-11 |
| 1306287677 | Martha Nicole Mcclurg | Dietitian, Registered | 80 E Bragg Ave, Upland, IN 46989-9178 | 2013-07-15 |
| Find all providers in zip 46989 | ||||
| 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 |
|---|---|---|---|---|
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1508304544 | Romeo Samouh Md Inc | Family Medicine | 811 E 11th St Ste 102, Upland, CA 91786-4872 | 2017-02-10 |
| 1396064390 | Khin T Htun | Family Medicine | 600 N 13th Ave Ste 150, Upland, CA 91786 | 2010-05-31 |
| 1720304207 | Nader Sawiris | Family Medicine | 367 N 2nd Ave, Upland, CA 91786-6006 | 2010-04-09 |
| 1669677365 | Syed Muhammad Hammad Rizvi | Family Medicine | 901 San Bernardino Rd Ste 104, Upland, CA 91786-4993 | 2007-06-20 |
| 1063613578 | Sandar Win | Family Medicine | 811 E 11th St Ste 205, Upland, CA 91786-4872 | 2007-05-30 |
| 1902959075 | Clinica Guadalupana De Ontario Med Grp | Family Medicine | 308 N 2nd Ave, Upland, CA 91786-8325 | 2007-01-19 |
| 1508920489 | Robert West Md Inc | Family Medicine | 600 N 13th St Ste 150, Upland, CA 91786-4905 | 2006-12-21 |
| 1093883886 | Asha Nayak Ubhayakar | Family Medicine | 1157 West 22nd Street, Upland, CA 91784 | 2006-12-01 |
| 1174693659 | Irene Kae Enzensperger | Family Medicine | 1060 E Foothill Blvd Ste 202, Upland, CA 91786-4017 | 2006-11-09 |
| Find all providers in UPLAND | ||||
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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.