CENTRAL INDIANA PET, LLC (NPI# 1740472943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740472943 |
| Entity Type | Organization |
| Organization Name | CENTRAL INDIANA PET, LLC |
| Practice Address |
8402 Harcourt Rd Suite 721 Indianapolis IN 46260-2074 |
| Practice Telephone | 3173386384 |
| Practice Fax Number | 3173386385 |
| Mailing Telephone | 3173386384 |
| Mailing Fax Number | 3173386385 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | JOANNA SUE KLAVON (MANAGER) |
| Authorized Official Telephone | 3173386384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
8402 HARCOURT RD SUITE 721 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597559 | David A Josephson | Psychiatry & Neurology | 8402 Harcourt Rd, Ste 615, Indianapolis, IN 46260-2055 | 2005-06-09 |
| 1104466945 | Rebecca Marie Burns | Nurse Practitioner | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2020-01-09 |
| 1578107413 | Anastasia Smith | Pediatrics | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2019-11-04 |
| 1477115699 | Sarah Steinke | Registered Nurse | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2019-07-09 |
| 1366936833 | Kendall Philip Smith | Physician Assistant | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2018-06-19 |
| 1730614199 | Renae J Williams | Dietitian, Registered | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2017-04-24 |
| 1750830477 | Kelly Marie Kidd | Physician Assistant | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2016-09-22 |
| 1669824793 | Kate Crabtree | Nurse Practitioner | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2016-07-13 |
| 1255797213 | Catherine Elizabeth Faig Miers | Genetic Counselor, MS | 8402 Harcourt Rd, Suite 300, Indianapolis, IN 46260-2074 | 2016-01-06 |
| 1699157719 | Anna Marie Clark | Registered Nurse | 8402 Harcourt Rd, Suite 125, Indianapolis, IN 46260-2074 | 2015-06-25 |
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|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
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| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1336315563 | St. Vincent Health Services | Clinic/Center | 2001 W 86th Street, Indianapolis, IN 46280-1902 | 2008-05-07 |
| 1871717439 | Good Samaritan Health Clinic | Clinic/Center | 2716 E. Washington Street, Indianapolis, IN 46206-1871 | 2007-04-12 |
| 1568415982 | Nuclear Cardiology Centers, Inc | Clinic/Center | 7855 S Emerson Ave Suite N, Indianapolis, IN 46237-8669 | 2006-05-18 |
| 1457984064 | Heroh Functional Institute PC | Clinic/Center | 8425 Castleton Corner Dr, Indianapolis, IN 46250-3580 | 2020-02-21 |
| 1265063622 | Tracey Williams | Clinic/Center | 55 S State Ave, Indianapolis, IN 46201-3802 | 2020-02-03 |
| 1679015028 | Dr Hill Eye Care | Clinic/Center | 8230 Rockville Rd, Indianapolis, IN 46214-3113 | 2016-11-15 |
| 1609323708 | Carrie B. Boyd Healthcare Center | Clinic/Center | 5555 N Tacoma Ave, 12, Indianapolis, IN 46220-3512 | 2016-09-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on CENTRAL INDIANA PET, LLC.
| 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.