OURHEALTH PHYSICIAN GROUP, LLC (NPI# 1891037164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891037164 |
| Entity Type | Organization |
| Organization Name | OURHEALTH PHYSICIAN GROUP, LLC |
| Other Organization Name | OURCLINIC @ CULVER |
| Practice Address |
121 N Terrace Dr Culver IN 46511-1222 |
| Mailing Address |
4151 E 96th St Indianapolis IN 46240-1442 |
| Practice Telephone | 5748428882 |
| Mailing Telephone | 3175220823 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | DR. JEFFREY M WELLS (PRESIDENT) |
| Authorized Official Telephone | 3175220823 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OurClinic @ Culver | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003382243 | Ourhealth Physician Group, LLC | Clinic/Center | 2188 Kings Mills Rd, Mason, OH 45040-2400 | 2018-10-15 |
| 1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
| 1487120788 | Ourhealth Physician Group, LLC | Clinic/Center | 11568 Springfield Pike, Springdale, OH 45246-3527 | 2018-10-15 |
| 1265920409 | Ourhealth Physician Group, LLC | Clinic/Center | 2621 N Morton St, Franklin, IN 46131-8820 | 2018-04-24 |
| 1619473360 | Ourhealth Physician Group, LLC | Clinic/Center | 11787 Lantern Rd Ste 200, Fishers, IN 46038-2801 | 2018-04-02 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1881965606 | Ourhealth Physician Group, LLC | Clinic/Center | 535 College Dr, Suite 100, Carmel, IN 46032-5622 | 2012-01-25 |
| 1639782964 | Ourhealth Physician Group, LLC | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2020-08-26 |
| 1467086660 | Ourhealth Physician Group, LLC | Clinic/Center | 5800 Northampton Blvd, Norfolk, VA 23502-5513 | 2020-02-26 |
| Street Address |
121 N TERRACE DR |
| City | CULVER |
| State | IN |
| Zip Code | 46511-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437309838 | Kristine Marie Weaver | Nurse Practitioner | 232 S Main St Ste A, Culver, IN 46511 | 2008-09-23 |
| 1649361031 | John R. Bernero | Internal Medicine | 1680 E. Shore Dr., Culver, IN 46511 | 2006-09-28 |
| 1306814413 | Michael F Deery | Family Medicine | 921 N Lake Shore Dr, Culver, IN 46511 | 2006-03-14 |
| 1427595842 | Mackenzie Davenport | Specialist/Technologist | 1300 Academy Rd, Culver, IN 46511 | 2017-01-24 |
| 1033624499 | Stephanie Stichter | Specialist/Technologist | 701 School St, Culver, IN 46511-1026 | 2017-12-07 |
| 1104155415 | Culver Community Schools | Local Education Agency (LEA) | 700 School St, Culver, IN 46511-1027 | 2009-12-15 |
| 1770504813 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 730 School St, Culver, IN 46511-1027 | 2006-07-22 |
| 1679970644 | Culver Comm Sch Corp | Point of Service | 700 School St, Culver, IN 46511-1027 | 2014-11-19 |
| 1366566424 | Lake Shore Clinic | Clinic/Center | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2007-03-16 |
| 1730274556 | Noemi Adame | Pediatrics | 921 N Lake Shore Dr, Culver, IN 46511-1207 | 2006-10-04 |
| Find all providers in zip 46511 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OURHEALTH PHYSICIAN GROUP, 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.