OURHEALTH PHYSICIANS GROUP, LLC (NPI# 1952844292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952844292 |
| Entity Type | Organization |
| Organization Name | OURHEALTH PHYSICIANS GROUP, LLC |
| Practice Address |
220 Virginia Ave Suite 1-1200 Indianapolis IN 46204-3709 |
| Mailing Address |
4151 E 96th St Indianapolis IN 46240-1442 |
| Practice Telephone | 3175592055 |
| Mailing Telephone | 8664343255 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | JEFFERY WELLS (PRESIDENT) |
| Authorized Official Telephone | 3175592055 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541935 | Ourhealth Physicians Group, LLC | Clinic/Center | 9998 N Michigan Rd, Carmel, IN 46032-9640 | 2020-06-08 |
| 1871138644 | Ourhealth Physicians Group, LLC | Clinic/Center | 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 | 2019-11-15 |
| 1689216137 | Ourhealth Physicians Group, LLC | Clinic/Center | 635 Genesco Pkwy, Lebanon, TN 37090-7011 | 2019-10-16 |
| 1578116034 | Ourhealth Physicians Group, LLC | Clinic/Center | 6355 Harrison Ave, Cincinnati, OH 45247-7818 | 2019-07-23 |
| 1881259588 | Ourhealth Physicians Group, LLC | Clinic/Center | 11299 Illnois St, Carmel, IN 46032-8887 | 2019-05-08 |
| 1386190254 | Ourhealth Physicians Group, LLC | Clinic/Center | 5630 W 86th St, Suite 150, Indianapolis, IN 46278-2017 | 2016-08-30 |
| 1780130658 | Ourhealth Physicians Group, LLC | Clinic/Center | 720 City Center Dr, Suite 140, Carmel, IN 46032-3826 | 2016-08-30 |
| 1366995482 | Ourhealth Physicians Group, LLC | Clinic/Center | 4161 E 96th St, Suite 100, Indianapolis, IN 46240-1442 | 2016-07-25 |
| 1902359128 | Ourhealth Physicians Group, LLC | Clinic/Center | 600 E 84th Ave, Suite 100, Merrillville, IN 46410-6366 | 2016-07-25 |
| 1508319625 | Ourhealth Physicians Group, LLC | Clinic/Center | 155 W Washington St, Suite 155, Indianapolis, IN 46204-3483 | 2016-07-25 |
| Street Address |
220 VIRGINIA AVE SUITE 1-1200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058556 | Raelynn Prokop | Dietitian, Registered | 220 Virginia Ave, Indianapolis, IN 46204-3632 | 2020-06-22 |
| 1366080020 | Aspire Caremore Health Partners, PC | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2019-12-12 |
| 1811391311 | Anthem Insurance Companies, Inc. | Health Maintenance Organization | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2014-10-14 |
| 1669703708 | Joe Blinn Fox | Internal Medicine | 220 Virginia Ave, In 0205-a547, Indianapolis, IN 46204-3709 | 2010-01-28 |
| 1477610293 | Wesley Blake Wong | Psychiatry & Neurology | 220 Virginia Ave, Mail No. In0205-a547, Indianapolis, IN 46204-3709 | 2007-01-02 |
| 1811915408 | James E. Davis | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3632 | 2006-07-18 |
| 1841244647 | Stanley D Reed | Internal Medicine | 220 Virginia Ave, Indianapolis, IN 46204-3709 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1033777370 | Prime Movement Healthcare | Clinic/Center | 55 Monument Cir Fl 7, Indianapolis, IN 46204-2910 | 2019-06-02 |
| 1720646235 | Pmr Healthcare | Clinic/Center | 6404 Turner Dr Ste 100, Indianapolis, IN 46241-4906 | 2019-05-30 |
| 1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
| 1548743552 | Wellness for Life | Clinic/Center | 6448 W Ohio St, Indianapolis, IN 46214-3973 | 2018-09-14 |
| 1467970269 | Activate Healthcare - Mep Clinic | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2017-09-01 |
| 1386190254 | Ourhealth Physicians Group, LLC | Clinic/Center | 5630 W 86th St, Suite 150, Indianapolis, IN 46278-2017 | 2016-08-30 |
| 1366995482 | Ourhealth Physicians Group, LLC | Clinic/Center | 4161 E 96th St, Suite 100, Indianapolis, IN 46240-1442 | 2016-07-25 |
| 1508319625 | Ourhealth Physicians Group, LLC | Clinic/Center | 155 W Washington St, Suite 155, Indianapolis, IN 46204-3483 | 2016-07-25 |
| 1154774412 | American Health Network of Indiana LLC | Clinic/Center | 2432 Southeastern Ave, Indianapolis, IN 46201-4161 | 2016-07-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
Please comment or provide details below to improve the information on OURHEALTH PHYSICIANS 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.