Active NPI
Franciscan Health Indianapolis & Mooresville
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1003856824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE
- Practice address
- 5230A East Stop 11 Road
Suite 250
Indianapolis, IN 46237-6399 - Phone
- (317) 528-8921
- Fax
- (317) 528-6916
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brad Joubert
- Title
- Director, Abo, Franciscan Alliance
- Phone
- (317) 528-4291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5230A East Stop 11 Road
Suite 250
Indianapolis, IN 46237-6399
Mailing address
1040 Sierra Drive
Suite 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185520 | Other | IN | MEDICARE PTAN |
| 200239650 A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1003856824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DRIVE",
"address_2": "SUITE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230A EAST STOP 11 ROAD",
"address_2": "SUITE 250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376399",
"telephone_number": "317-528-8921",
"fax_number": "317-528-6916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN HEALTH INDIANAPOLIS & MOORESVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2016-10-06",
"status": "A",
"authorized_official_last_name": "JOUBERT",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "DIRECTOR, ABO, FRANCISCAN ALLIANCE",
"authorized_official_telephone_number": "317-528-4291",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "185520",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200239650 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Nayib Francis
- Franciscan Aco, Inc.
- Franciscan Alliance
- Franciscan Cardiovascular Laboratory, LLC
- Franciscan Health Indianapolis
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
- Franciscan Health Indianapolis & Mooresville
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.