JERRY L HOUSE (NPI# 1871688275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871688275 |
| Entity Type | Individual |
| Full Name | JERRY L HOUSE |
| Credential | MD |
| Practice Address |
9002 N Meridian St Suite 204 Indianapolis IN 46260-5350 |
| Practice Telephone | 3178489505 |
| Practice Fax Number | 3178483623 |
| Mailing Telephone | 3178489505 |
| Mailing Fax Number | 3178483623 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Y00000X | Otolaryngology | 01025675A | IN | Allopathic & Osteopathic Physicians |
| X | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
01025675A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BS | 000000078907 | 01 |
| Street Address |
9002 N MERIDIAN ST SUITE 204 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741393 | Randall Strate | Family Medicine | 9002 N Meridian St, Ste 107, Indianapolis, IN 46260-5349 | 2005-06-23 |
| 1447602917 | Dr. Sarah Small | Clinical Neuropsychologist | 9002 N Meridian St, Suite 200, Indianapolis, IN 46260-5381 | 2016-07-08 |
| 1295104883 | Jane B Parker Crna LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Indianapolis, IN 46260-5381 | 2015-09-24 |
| 1659775740 | Ivan Legoas Crna, LLC | Nurse Anesthetist, Certified Registered | 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 | 2014-10-17 |
| 1194131979 | Meridian Adult Health PC | Nurse Practitioner | 9002 N Meridian St, Lower Level, Indianapolis, IN 46260-5381 | 2014-07-01 |
| 1720405616 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 9002 N Meridian St, Suite 214, Indianapolis, IN 46260-5381 | 2014-03-28 |
| 1811327299 | American Health Network of Indiana, LLC | Clinical Medical Laboratory | 9002 N Meridian St, Suite 214a, Indianapolis, IN 46260-5381 | 2013-11-20 |
| 1316389596 | Jennifer Macke Johnson | Pharmacist | 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 | 2013-07-29 |
| 1659716769 | Stephanie Lynn Levin | Audiologist-Hearing Aid Fitter | 9002 N Meridian St, Suite 204, Indianapolis, IN 46260-5381 | 2013-05-02 |
| 1164768024 | Roberta Elaine Hull | Pharmacist | 9002 N Meridian St, Suite 213, Indianapolis, IN 46260-5381 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
| 1952689085 | Swapna A Eisinger | Otolaryngology | 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237-6341 | 2011-07-22 |
| 1831357722 | Kelly Kathryn Hiatt | Otolaryngology | 1400 N Ritter Ave Ste 230, Indianapolis, IN 46219-3046 | 2008-05-28 |
| 1639291271 | Otolaryngology Associates LLC | Otolaryngology | 5508 E 16th St Ste 14, Bldg C, Indianapolis, IN 46218-4936 | 2007-04-04 |
| 1851427900 | Michael Geoffrey Moore | Otolaryngology | 550 University Boulevard, Suite 3170, Indianapolis, IN 46202-5149 | 2007-02-25 |
| 1740347194 | Thomas H Fairchild | Otolaryngology | 5255 East Stop 11 Road, Suite 400, Indianapolis, IN 46237-6341 | 2007-01-03 |
| 1427015833 | Dean J Trigg | Otolaryngology | 8402 Harcourt Rd Ste 400, Indianapolis, IN 46260-2053 | 2006-04-28 |
| 1386138535 | Timothy J Shin | Otolaryngology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2018-06-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.