ADVANCED HEALTHCARE ASSOCIATES LLP (NPI# 1841225091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841225091 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTHCARE ASSOCIATES LLP |
| Practice Address |
3834 S Emerson Ave Building C, Suite 100 Indianapolis IN 46203 |
| Mailing Address |
Po Box 3299 Carson City NV 89702-3299 |
| Practice Telephone | 3177821577 |
| Practice Fax Number | 3177805544 |
| Mailing Telephone | 7752220044 |
| Mailing Fax Number | 3177805544 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | BRYON MILLER (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 3177821577 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | IN | Allopathic & Osteopathic Physicians | |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
KY | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | KY | Allopathic & Osteopathic Physicians | |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
KY | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | IN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
IN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
IN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
IN | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RR MEDICARE PIN | DR2810 | 01 |
| KY | 7100226770 | 05 | |
| IN | 100460560A | 05 | |
| KY | 7100225520 | 05 | |
| IN | RR MEDICARE PIN | CI1868 | 01 |
| Street Address |
3834 S EMERSON AVE BUILDING C, SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229327 | Patrice R Yates | Internal Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46237 | 2005-10-20 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| 1346626876 | Thomas Edwin Puckett Jr. | Nurse Practitioner | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2015-08-06 |
| 1083915581 | Bridget A. Witsken | Registered Nurse | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2010-11-15 |
| 1588818587 | Kayla Lyn Hagerty | Registered Nurse | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2008-11-05 |
| 1780625731 | Leo Solito | Internal Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2006-06-09 |
| 1912953654 | Ann P Arno | Family Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2006-05-25 |
| 1821043977 | Isd Renal Inc | Clinic/Center | 3834 S Emerson Ave, Bldg B, Indianapolis, IN 46203-5902 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
| 1609921758 | Joan Legree Shemwell | Specialist | 3834 S Emerson Ave Ste 100, Indianapolis, IN 46203 | 2007-01-25 |
| 1659467256 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-04 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| 1003817297 | Jodie R Harper | Internal Medicine | 1427 W 86th St, Suite 152, Indianapolis, IN 46260-2103 | 2005-08-10 |
| 1437582384 | Pierce Mobile Medicine, PC | Internal Medicine | 1300 E 86th St, Suite 14 126, Indianapolis, IN 46240-1997 | 2013-08-14 |
| 1417291808 | Lucinda Geis Dunaway | Internal Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2012-11-26 |
| 1336433432 | Ellen Wayman Kaehr | Internal Medicine | 720 Eskenazi Ave, Suite F2-600, Indianapolis, IN 46202-5187 | 2011-06-06 |
| 1932428836 | Kofi K Quist | Internal Medicine | 1633 N Capitol Ave, Ste 322, Indianapolis, IN 46202-1261 | 2010-05-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
Please comment or provide details below to improve the information on ADVANCED HEALTHCARE ASSOCIATES LLP.
| 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.