Jara Lynn Southerland
COMMUNITY PHYSICIANS OF INDIANA INC


Address: 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
Phone: 3173552200

Jara Lynn Southerland (NPI# 1881167997, PAC ID# 0648510495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1881167997
PAC ID by PECOS 0648510495
Professional Enrollment ID I20190314001354
Full Name Jara Lynn Southerland
Organization Legal Name COMMUNITY PHYSICIANS OF INDIANA INC
Address 10122 E 10th St
Suite 220
Indianapolis
IN 46229-2664
Phone Number 3173552200
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1759416662
Number of Group Practice Members 1076
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150074 COMMUNITY HOSPITAL EAST

Other Locations

Address Phone Organization
10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 3173552200 COMMUNITY PHYSICIANS OF INDIANA INC

Organization Information

Organization Legal Name COMMUNITY PHYSICIANS OF INDIANA INC
Physicians 1201

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Miranda Tedder Nurse Practitioner Community Physicians of Indiana Inc 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828
Sasikanth Adigopula Cardiovascular Disease (cardiology) Community Physicians of Indiana Inc 8075 N Shadeland Ave, Indianapolis, IN 46250-2693
Itoro Okpokho Family Medicine Community Physicians of Indiana Inc 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683
Rebecca A King Nurse Practitioner Community Physicians of Indiana Inc 101 S Liberty St, Russiaville, IN 46979-9125
Minesh Dinesh Rajkotia Family Medicine Community Physicians of Indiana Inc 333 E Co Line Rd B, Greenwood, IN 46143-1046
Sarah E Dilley Gynecological Oncology Community Physicians of Indiana Inc 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963
Alyson M Ruotanen Qualified Audiologist Community Physicians of Indiana Inc 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990
Fnu Rakshita Chandrashekar Cardiovascular Disease (cardiology) Community Physicians of Indiana Inc 1101 W Jefferson St S, Franklin, IN 46131-2147
Robert W Godley Ii Cardiovascular Disease (cardiology) Community Physicians of Indiana Inc 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760
Patricia Justine Irvin Nurse Practitioner Community Physicians of Indiana Inc 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362

Office Location

Street Address 10122 E 10TH ST
SUITE 220
City INDIANAPOLIS
State IN
Zip 46229-2664

Physicians in the same location

Name Specialty Organization Address
Justin R Hollen Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 210, Indianapolis, IN 46229-2675
Jesse N Clark Interventional Radiology Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Teresa M Schaeffer Internal Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
Holly Wheeler General Practice Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Elena D Burtea Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
Sandra Kathryn Horan Toll Nurse Practitioner Community Physicians of Indiana Inc 10122 E 10th St, Indianapolis, IN 46229-2664
Tricia L Hern Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Kenae Jumper Nurse Practitioner Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Louis L Winternheimer Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Melody Ann Jordahl-iafrato Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 100, Indianapolis, IN 46229-2697
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Naseem Labue Family Medicine Community Physicians of Indiana Inc 9015 E 17th St, Indianapolis, IN 46229-2016
Jared C Basham Family Medicine Community Physicians of Indiana Inc 9015 E 17th St, Indianapolis, IN 46229-2016
Roddrea Montgomery Family Medicine Community Physicians of Indiana Inc 9015 E 17th St, Indianapolis, IN 46229-2016
Melissa Jane Smith Nurse Practitioner Community Physicians of Indiana Inc 9015 E 17th St, Indianapolis, IN 46229-2016
John A Desanto Internal Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
Cynthia S Meneghini Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
Vanita Yakhmi Internal Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664
James P Metzler Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Indianapolis, IN 46229-2664
Cathy C Macha Optometry Dr. Holly Lewton PC 10030 E Washington St, Dr. Lewton and Associates, Indianapolis, IN 46229-2668
Maurice M Henein Family Medicine Community Physicians of Indiana Inc 10122 E 10th St, Suite 210, Indianapolis, IN 46229-2675
Find all physicians in zip 46229

Competitor

Search similar physicians

City INDIANAPOLIS
Zip Code 46229
Specialty NURSE PRACTITIONER
City + Specialty INDIANAPOLIS + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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