INDIANA UNIVERSITY HEALTH BEDFORD, INC (NPI# 1871036962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871036962 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH BEDFORD, INC |
| Other Organization Name | IU HEALTH BEDFORD HOSPITAL |
| Practice Address |
2900 16th St Bedford IN 47421-3510 |
| Practice Telephone | 8122751200 |
| Practice Fax Number | 8122751231 |
| Mailing Telephone | 8122751200 |
| Mailing Fax Number | 8122751231 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. BRAD DYKES (PRESIDENT) |
| Authorized Official Telephone | 8122751200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IU Health Bedford Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260284 | Indiana University Health Bedford, Inc | General Acute Care Hospital | 2900 W. 16th St, Bedford, IN 47421-3510 | 2005-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY HEALTH BEDFORD, INC. | 2900 W 16th St, Bedford, IN 47421-3510 |
| Street Address |
2900 16TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375624 | James B Rickert I | Orthopaedic Surgery | 2900 16th St, Bedford, IN 47421-3510 | 2005-06-08 |
| 1093329963 | Tamara Behen | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-09-08 |
| 1437771060 | Jennifer Leighanne Cooper | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-05-18 |
| 1780204230 | Ladonna Stroud | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-04-24 |
| 1619518867 | Emily Hicks | Pharmacist | 2900 16th St, Bedford, IN 47421-3510 | 2019-09-30 |
| 1376028001 | Brandee Starr Sullivan | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2018-09-28 |
| 1366922874 | Melinda T Pace | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2018-08-15 |
| 1598259020 | Ashleigh Whiteman | Occupational Therapist | 2900 16th St, Bedford, IN 47421-3510 | 2018-06-18 |
| 1104338623 | Holly L Russell | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2017-10-25 |
| 1144767138 | Whitney Garner | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2017-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558671206 | James Warren Smith | Pathology | 635 Barnhill Dr A128, Indianapolis, IN 46202 | 2010-10-15 |
| 1568753523 | Li Liang | Pathology | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-04-26 |
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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.