INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.


Address: 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250
Phone: 7657594068

INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. (NPI# 1710206990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710206990
Entity Type Organization
Organization Name INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Other Organization Name IU HEALTH BALL MEMORIAL PHYSICIANS
Practice Address 1420 S Pilgrim Blvd
Yorktown
IN 47396-9250
Mailing Address 250 N Shadeland Ave
Attn: Carol Boyd
Indianapolis
IN 46219-4959
Practice Telephone 7657594068
Practice Fax Number 7657594075
Mailing Telephone 3179630413
Enumeration Date 2010-05-27
Last Update Date 2013-10-14
Authorized Official Name JANET L VANGETS (DIRECTOR/OFFICER)
Authorized Official Telephone 7657513311
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200986050 C 05
IN RR MEDICARE DQ6230 01

Other Provider/Organization Names

Other Name Type Code
IU Health Ball Memorial Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

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
1699094870 Indiana University Health Ball Memorial Physicians, Inc. Internal Medicine 1809 S Main St, Upland, IN 46989-9242 2010-05-27
1043539232 Indiana University Health Ball Memorial Physicians, Inc. Family Medicine 400 Pilgrim Blvd, Hartford City, IN 47348-1382 2010-05-27

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC. 2401 West University Ave, Muncie, IN 47303

Office Location

Street Address 1420 S PILGRIM BLVD
City YORKTOWN
State IN
Zip Code 47396-9250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992755748 Midwest Healthstrategies, Inc. Clinic/Center 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2006-05-11
1417431388 Raquel Lopez Nurse Practitioner 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2018-09-18
1073019659 Jordan E Dicken Nurse Practitioner 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2018-04-03
1073975041 Eric Westergren Family Medicine 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2016-03-28
1609012087 Lisa Lynn Swingley Nurse Practitioner 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2009-01-06
1972709079 Liliana Patricia Garcia-vargas Internal Medicine 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2007-06-25
1386700276 Kathleen B Shapiro Physical Therapist 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2006-12-28
1124129424 Abbie Guthrie Pharmacist 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2006-09-26
1104922608 Phylis June Rutowski Pharmacist 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2006-09-15
1720182777 Indiana University Health Ball Memorial Hospital Inc Pharmacy 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 2006-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679979041 Quad/med, LLC Clinic/Center 2005 S Tiger Dr, Yorktown, IN 47396 2014-11-13
1699033944 Mini Dental Implant Centers of America LLC Dentist 2001 S Tiger Drive, Yorktown, IN 47396 2012-04-24
1306802087 Andrew Blake Wagner Physical Therapist 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 2006-04-22
1992008742 Roberta Vernice Reichenbach Nurse Practitioner 9730 W Smith St, Yorktown, IN 47396-1199 2010-12-17
1770837965 Yorktown Community Schools Local Education Agency (LEA) 2311 S Broadway St, Yorktown, IN 47396-1200 2012-11-09
1467643817 Lisa Michelle Kattner Counselor 9010 W Smith St, Suite 2, Yorktown, IN 47396-1313 2007-08-08
1801921150 Mt Pleasant Twp Comm Sch Local Education Agency (LEA) 8800 W Smith St, Yorktown, IN 47396-1332 2007-02-23
1518094119 Tiffany L Stinson Physical Therapist 2213 S Sisk Dr, Yorktown, IN 47396-1443 2007-02-28
1730392986 Healthcare Centers of Indiana, LLC Skilled Nursing Facility 2000 S Andrews Rd, Yorktown, IN 47396-6812 2007-05-07
1275572646 The Waters of Yorktown, LLC Skilled Nursing Facility 2000 S. Andrews Road, Yorktown, IN 47396-6812 2006-06-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275887366 Ruth Esther Smith Family Medicine 160 Main Rd, Yorktown, VA 23691-5111 2012-10-29
1619178274 Wayne A Stoutenger Family Medicine 105 Jennie Dr, Yorktown, VA 23692-4001 2007-05-30
1700835568 Timothy Lee Raines Family Medicine 3212b Hampton Hwy, Yorktown, VA 23693-4904 2006-05-09
1326013327 Mark A Litz Family Medicine 1420 S. Pilgrim Blvd., Yorktown, IN 47396-9250 2006-02-22
1376514042 Warren Paul Weixler Family Medicine 2855 Denbigh Blvd, Suite A, Yorktown, VA 23692-6501 2006-01-30
1407835812 Pedro Otilio Nazario Family Medicine 1 U S Coast Guard Trn Ctr, Yorktown, VA 23690-5001 2006-01-13
1861490682 Jesus L. Lizarzaburu Family Medicine 222 Grafton Dr, Yorktown, VA 23692-2152 2005-07-14
1669478418 Hawes Campbell IIi Family Medicine 307 Cook Rd, Yorktown, VA 23690-9640 2005-06-27
1801438254 Dena Michelle Mintz Family Medicine 6420 B George Washington Memorial Highway, Yorktown, VA 23269 2019-10-16
1326603952 Riverside Physicain Services Inc Family Medicine 1620 Old Williamsburg Rd, Yorktown, VA 23690-3910 2019-05-09
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Competitor

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City YORKTOWN
Zip Code 47396

Improve Information

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Dataset Information

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.

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