Bio-Restore Family Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01068656A Issued in IN

Legal business name

BIO-RESTORE FAMILY HEALTHCARE LLC

Practice address

10967 Allisonville Rd Ste 220
Fishers, IN 46038-2634

Phone

(317) 578-1220

Fax

(833) 228-1102

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Scott G Marsteller, M.D.

Title

Owner

Phone

(317) 578-1220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth J Moore, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
  • NPI 1871826610
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1053802736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 RANCH RD",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473311238",
            "telephone_number": "317-578-1220",
            "fax_number": "833-228-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 220",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382634",
            "telephone_number": "317-578-1220",
            "fax_number": "833-228-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473743118",
            "country_code": "US",
            "telephone_number": "317-578-1220",
            "fax_number": "833-228-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIO-RESTORE FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "MARSTELLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-578-1220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01068656A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Biddle
• Suzanne K Bielski, MD
• Kenneth Billings
• Vernon Earl Billups Jr., LMFTA
• Sarah Binder, LCSW
• Biorestore LLC
• Carrie Poggiali Bischoff, PHD
• Biser Chiropractic LLC
• John Bixler
• Nancy Maria Bixler, RPH

• Family Medicine Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.