Hazel Dell Pediatraics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HAZEL DELL PEDIATRAICS, LLC

Practice address

13250 Hazel Dell Pkwy
Suite 103
Carmel, IN 46033-8521

Phone

(317) 843-9475

Fax

(317) 843-9476

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Catherine J Luce

Title

Office Manager

Phone

(317) 843-9554

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Andrew Boyce, MD

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1518962117
  NPD (past)
• Sherrie Lynne Criss, NP

  • Pediatric Nurse Practitioner
  • Carmel, IN
  • NPI 1508051285
  NPD (past)
• Constance Lynn Glass, MD

  • Legal Medicine
  • Carmel, IN
  • NPI 1366447955
  NPD (past)
• Roy Scott Harper, MD

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1295730885
  NPD (past)
• Brooke Carolyn Pennington

  • Registered Nurse
  • Carmel, IN
  • NPI 1801702048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033326376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338521",
            "telephone_number": "317-843-9475",
            "fax_number": "317-843-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY",
            "address_2": "SUITE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338521",
            "telephone_number": "317-843-9475",
            "fax_number": "317-843-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL DELL PEDIATRAICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-843-9554"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole M Hayes, PHARM.D.
• Haymaijo, Inc. (Focus Chiropractic)
• Brandon Matthew Haynes, CAA
• Robert Mathew Hays, OTR
• Hazel Dell Crossing Dental LLC (Clarity Dentistry Hazel Dell Crossing)
• Lindsay Head
• Regina Dawn Heagy, RPH
• Health and Wellness of Carmel, LLC
• Healthsolutions of Carmel Corp
• Healthsource of Carmel LLC

• Primary Care Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.