COMMUNITY HOSPITALS OF INDIANA INC (NPI# 1922178516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922178516 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITALS OF INDIANA INC |
| Other Organization Name | SHADELAND FAMILY CARE CENTER |
| Practice Address |
2040 N Shadeland Ave Suite 300 Indianapolis IN 46219-1711 |
| Mailing Address |
3826 Solutions Ctr Chicago IL 60677-3008 |
| Practice Telephone | 3173552122 |
| Practice Fax Number | 3173556042 |
| Mailing Telephone | 3173555837 |
| Mailing Fax Number | 3173552205 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | JEFFERY KIRKHAM (CFO) |
| Authorized Official Telephone | 3173554887 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HOSPITALS OF INDIANA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100236570B | 05 | |
| IN | ANTHEM | 000000107139 | 01 |
| IN | ANTHEM | 000000226100 | 01 |
| IN | AETNA | 7984442 | 01 |
| Other Name | Type Code |
|---|---|
| Shadeland Family Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861725095 | Community Hospitals of Indiana Inc | Family Medicine | 8931 E 30th Street, Indianapolis, IN 46219-1501 | 2009-09-04 |
| 1114161817 | Community Hospitals of Indiana Inc | Surgery | 533 E County Line Road, Suite 101, Greenwood, IN 46143-1074 | 2009-04-24 |
| 1013105931 | Community Hospitals of Indiana Inc | Nurse Practitioner | 8501 East 56th St, Suite 130, Indianapolis, IN 46216-2118 | 2007-10-04 |
| 1891824447 | Community Hospitals of Indiana Inc | Family Medicine | 4037 South Arbor Lane, Suite D, New Palestine, IN 46163-8644 | 2007-03-02 |
| 1003943978 | Community Hospitals of Indiana Inc | Obstetrics & Gynecology | 7120 Clearvista Parkway, Suite 5100, Indianapolis, IN 46256 | 2007-02-27 |
| 1326056185 | Community Hospitals of Indiana Inc | Obstetrics & Gynecology | 13121 Olio Road, Suite 220, Fishers, IN 46037-7239 | 2006-08-04 |
| 1346261971 | Community Hospitals of Indiana Inc | Family Medicine | 1251 Huntzinger Blvd, Suite 100, Pendleton, IN 46064-9493 | 2006-07-21 |
| 1124046032 | Community Hospitals of Indiana Inc | Family Medicine | 11890 E Welland St, Cumberland, IN 46229-2964 | 2006-07-18 |
| 1689692501 | Community Hospitals of Indiana Inc | Family Medicine | 549 E County Line Road, Suite A, Greenwood, IN 46143-1068 | 2006-07-18 |
| 1437176468 | Community Hospitals of Indiana Inc | Family Medicine | 13121 Olio Rd, Suite 300, Fishers, IN 46037-7240 | 2006-07-16 |
| Street Address |
2040 N SHADELAND AVE SUITE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641074 | Louis Michael Wright | Internal Medicine | 2040 N Shadeland Ave, Suite 310, Indianapolis, IN 46219-1711 | 2005-07-07 |
| 1730637455 | Cortney Dammeier | Counselor | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1711 | 2016-09-12 |
| 1104279181 | Kimberly Hardin | Dietitian, Registered | 2040 N Shadeland Ave, Ste. 300, Indianapolis, IN 46219-1711 | 2016-07-14 |
| 1720443328 | Melissa H Davis | Social Worker | 2040 N Shadeland Ave, Ste 250, Indianapolis, IN 46219-1711 | 2015-12-23 |
| 1962870444 | Kelly Mckinney | Registered Nurse | 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 | 2015-09-14 |
| 1336515428 | Courtney Burrus | Registered Nurse | 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 | 2015-08-12 |
| 1609252253 | Karleen Ritchie | Pharmacist | 2040 N Shadeland Ave, Indianapolis, IN 46219-1711 | 2015-08-05 |
| 1336565761 | Susana Wilson | Social Worker | 2040 N Shadeland Ave, Ste 250, Indianapolis, IN 46219-1711 | 2014-03-10 |
| 1710329313 | Sarah A Schinbeckler | Nurse Practitioner | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1225385651 | Jennifer L O'neal | Counselor | 2040 N Shadeland Ave, Suite 200, Indianapolis, IN 46219-1711 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1477915791 | Sarah Patton Supples | Pediatrics | 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 | 2016-03-25 |
| 1801283205 | Korre Leigh Fairman | Pediatrics | 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 | 2015-04-23 |
| 1912393240 | Dana Nezon | Pediatrics | Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 | 2015-04-14 |
| 1922412162 | Jodie Meara | Pediatrics | Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 | 2014-06-16 |
| 1265877690 | Kristen Mary Schroeder | Pediatrics | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2013-04-29 |
| 1396189056 | Jessica Lucille Horan | Pediatrics | 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 | 2013-04-24 |
| 1841581311 | Meaghan Elisabeth Keller | Pediatrics | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2011-05-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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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.