U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC (NPI# 1710436852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436852 |
| Entity Type | Organization |
| Organization Name | U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC |
| Practice Address |
1101 Southeastern Ave Indianapolis IN 46202-3946 |
| Mailing Address |
25124 Springfield Ct Valencia CA 91355-1085 |
| Practice Telephone | 3179552020 |
| Practice Fax Number | 3179552030 |
| Mailing Telephone | 6616782600 |
| Mailing Fax Number | 6616782700 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | MR. JOSEPH T MALLAS (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6616782600 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S HEALTHWORKS MEDICAL GROUP OF INDIANA, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731496 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3417 W Fox Ridge Ln, Muncie, IN 47304-5204 | 2016-10-18 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1174037535 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 19567 Cleveland Rd, South Bend, IN 46637-3201 | 2017-11-21 |
| 1902357650 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3400 W Community Dr, Muncie, IN 47304-5459 | 2016-10-18 |
| 1891246559 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-18 |
| 1154872810 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 5603 W Raymond St, Suite A-d, Indianapolis, IN 46241-4364 | 2016-10-18 |
| 1912458662 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 700 E Beardsley Ave, Suite100, Elkhart, IN 46514-3366 | 2016-10-18 |
| 1083163034 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 4850 Century Plaza Rd, Suite 100, Indianapolis, IN 46254-5476 | 2016-09-30 |
| 1497204531 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 11580 Overlook Dr, Suite 100, Fishers, IN 46037-4219 | 2016-09-30 |
| 1881143907 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 7301 Georgetown Rd, Suite 109 - 111, Indianapolis, IN 46268-5124 | 2016-09-30 |
| Street Address |
1101 SOUTHEASTERN AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114093309 | Mary Ann Ruff | Nurse Practitioner | 1101 Southeastern Ave, Indianapolis, IN 46202 | 2006-11-28 |
| 1073009817 | Occupational Heath Centers of The Southwest Pa | Clinic/Center | 1101 Southeastern Ave, Indianapolis, IN 46202-3946 | 2018-07-05 |
| 1306332242 | American Currenct Care P.a. | Clinic/Center | 1101 Southeastern Ave, Indianapolis, IN 46202-3946 | 2018-07-03 |
| 1245667658 | Sherry Gregson | Registered Nurse | 1101 Southeastern Ave, Indianapolis, IN 46202-3946 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1972790848 | Wallace John Gasiewicz | Preventive Medicine | 10832 Weatherly Ct, Indianapolis, IN 46236-8857 | 2007-09-25 |
| 1023160322 | Robin Stickney | Preventive Medicine | 8322 Heron Ct, Indianapolis, IN 46256-1707 | 2007-01-17 |
| 1073689287 | Robert Walter Poel | Preventive Medicine | 1101 Southeastern Avenue, Indianapolis, IN 46202 | 2006-11-28 |
| 1730161209 | Eric J Levine | Preventive Medicine | 4770 S Emerson Ave, Ste A, Indianapolis, IN 46203-6913 | 2005-11-18 |
| 1598757932 | Owen H Lucas Jr. | Preventive Medicine | 8177 Clearvista Pkwy, Suite B, Indianapolis, IN 46256-1662 | 2005-08-22 |
| 1881143907 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 7301 Georgetown Rd, Suite 109 - 111, Indianapolis, IN 46268-5124 | 2016-09-30 |
| 1619098068 | Thomas Perrin | Preventive Medicine | 5604 W 74th St, Building #117, Indianapolis, IN 46278-1752 | 2007-04-03 |
| 1760508998 | Richard Stout | Preventive Medicine | 6920 Gatwick Dr, Suite 100, Indianapolis, IN 46241-9504 | 2007-03-21 |
| 1740305143 | Kenneth Kirkman | Preventive Medicine | 6920 Gatwick Dr, Indianapolis, IN 46241-9504 | 2007-03-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC.
| 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.