HEATHER STULTZ (NPI# 1710926092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926092 |
| Entity Type | Individual |
| Full Name | HEATHER STULTZ |
| Credential | PA |
| Practice Address |
1664 W Smith Valley Rd Greenwood IN 46142-1550 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3178877640 |
| Practice Fax Number | 3178877664 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000754A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P01512441 | 01 |
| IN | 201292730 | 05 |
| Street Address |
1664 W SMITH VALLEY RD |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46142-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798625 | Community Hospitals of Indiana, Inc | Family Medicine | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2006-05-18 |
| 1952778136 | Kimberly K Baer | Nurse Practitioner | 1664 W Smith Valley Rd, Greenwood, IN 46142 | 2015-08-24 |
| 1063802395 | Amber Fair | Nurse Practitioner | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2015-01-26 |
| 1710399043 | Luke Pittman | Family Medicine | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2014-05-21 |
| 1184975971 | Megan E Power | Nurse Practitioner | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2012-09-20 |
| 1568719060 | John Scott Emmett | Physician Assistant | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2012-08-14 |
| 1518287747 | Jan Elaine Williams | Nurse Practitioner | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2010-06-10 |
| 1730401910 | Occupational Health Greenwood | Clinic/Center | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2010-02-16 |
| 1033441522 | Medcheck Greenwood | Clinic/Center | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2010-02-08 |
| 1982869590 | Christopher W Kidwell | Family Medicine | 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
| 1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
| 1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
| 1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
| 1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| Find all providers in zip 46142 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294306 | Pamela Hanley | Physician Assistant | 4953 Aquaduct Dr, Greenwood, IN 46142-7536 | 2020-08-07 |
| 1245868629 | Alexandra Diez Arguelles | Physician Assistant | 402 Vanhoy Dr, Greenwood, IN 46142-9064 | 2020-03-31 |
| 1740745900 | Megan Dewitt Carson | Physician Assistant | 313 Main St Ste A, Greenwood, SC 29646-2757 | 2019-02-01 |
| 1982119699 | Patrick Quinn Dooling | Physician Assistant | 555 E County Line Rd Ste 202, Greenwood, IN 46143-1063 | 2017-12-05 |
| 1083040455 | Megan Eliza Wheeler | Physician Assistant | 501 Epting Ave, Greenwood, SC 29646-4091 | 2013-09-17 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1902025109 | Richard David Shults | Physician Assistant | 1300 Innovation Pkwy, Greenwood, IN 46143-3625 | 2007-04-25 |
| 1699820530 | Erin Nikou | Physician Assistant | 700 Us 31 South, Greenwood, IN 46143-2401 | 2007-01-23 |
| 1437264900 | Scott A Brown | Physician Assistant | 102 W Cannery St, Greenwood, WI 54437 | 2006-08-21 |
| 1467490276 | Penny R Streby | Physician Assistant | 105 Vinecrest Ct # 500, Greenwood, SC 29646-8031 | 2006-06-03 |
| Find all providers in GREENWOOD | ||||
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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.