INDIANA UNIVERSITY HEALTH BLOOMINGTON INC (NPI# 1871519074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871519074 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH BLOOMINGTON INC |
| Practice Address |
601 W 2nd St Bloomington IN 47403 |
| Mailing Address |
601 W 2nd St Bloomington IN 47403-2317 |
| Practice Telephone | 8123539557 |
| Practice Fax Number | 8123535228 |
| Mailing Telephone | 8123539557 |
| Mailing Fax Number | 8123535228 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | MR. MICHAEL L CRAIG (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8123539557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100268090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1043498850 | Indiana University Health Bloomington Inc | Pharmacy | 1355 W Bloomfield Rd, Bloomington, IN 47403-2051 | 2008-02-04 |
| 1134153224 | Indiana University Health Bloomington Inc | Hospice Care, Community Based | 619 W 1st St, Bloomington, IN 47403-2307 | 2006-07-11 |
| 1811920788 | Indiana University Health Bloomington Inc | Clinic/Center | 3443 W 3rd St, Bloomington, IN 47404-4851 | 2006-07-07 |
| 1730118589 | Indiana University Health Bloomington Inc | Home Health | 333 E Miller Dr, Bloomington, IN 47401-6557 | 2006-07-02 |
| 1306033246 | Indiana University Health Bloomington Inc | Public Health or Welfare | 333 E Miller Dr, Bloomington, IN 47401-6557 | 2007-09-25 |
| 1710196969 | Indiana University Health Bloomington Inc | Case Management | 333 E Miller Dr, Bloomington, IN 47401-6557 | 2007-05-22 |
| 1740393438 | Indiana University Health Bloomington Inc | Durable Medical Equipment & Medical Supplies | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-08-16 |
| 1992724983 | Indiana University Health Bloomington Inc | Psychiatric Unit | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-07-19 |
| 1205860335 | Indiana University Health Bloomington Inc | General Acute Care Hospital | 601 W 2nd St, Bloomington, IN 47403-2317 | 2006-07-11 |
| Street Address |
601 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707111 | Brenda Susan Mallory | Physical Medicine & Rehabilitation | 601 W 2nd St, Bloomington, IN 47403-2317 | 2005-06-01 |
| 1841899747 | Megan Morrison | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1598364499 | Stacey Wiseman | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1952900904 | Janet Lynn Deckard | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1255939484 | Cerina Marie Cunningham | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-10 |
| 1043821846 | Riddhi Gandhi | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-08-14 |
| 1417571068 | Colin Laffoon | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-29 |
| 1891318598 | Kendra Rae Foster | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-28 |
| 1548881360 | Lindsay Sanders | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-04 |
| 1639798119 | Mona Visnius | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821291089 | David G Crane | Psychiatry & Neurology | 802 S Washington St, Bloomington, IN 47401 | 2007-06-06 |
| 1629151212 | Lian S Chang | Psychiatry & Neurology | 10751 Lyndale Bluffs Trl, Bloomington, MN 55420-5652 | 2006-10-24 |
| 1619071917 | James Samuel Guerrero | Psychiatry & Neurology | 5001 American Blvd West, #550, Bloomington, MN 55437-1153 | 2006-09-08 |
| 1992778930 | Linda Figen | Psychiatry & Neurology | 413 W Howe St, Bloomington, IN 47403-2363 | 2006-02-09 |
| 1568824563 | Hilary C Gerten | Psychiatry & Neurology | 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | 2016-03-28 |
| 1780091512 | Sarah Donaldson-vargha | Psychiatry & Neurology | 645 S Rogers St, Bloomington, IN 47403 | 2014-07-14 |
| 1235440082 | Nishanie Gunawardane | Psychiatry & Neurology | 645 S Rogers St, Bloomington, IN 47403-2353 | 2010-06-27 |
| 1265753867 | Asifa Choudhry | Psychiatry & Neurology | 3024 E Empire St Fl 2, Bloomington, IL 61704-5402 | 2010-06-17 |
| 1417273889 | Lisa Marie Ruiz | Psychiatry & Neurology | 600 N Jordan Ave, Bloomington, IN 47405-3191 | 2010-04-10 |
| 1346459146 | Lia R Kettenis | Psychiatry & Neurology | 550 S Adams St, Bloomington, IN 47403-2165 | 2007-05-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY HEALTH BLOOMINGTON INC.
| 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.