Healthstat Onsite Clinic Keihin Muncie

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE

Practice address

4400 N Superior Dr
Muncie, IN 47303-6436

Phone

(657) 282-0951

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Jill Patton

Title

Director of Risk Management

Phone

(704) 529-6161

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Healthstat on-Site Clinicmilliken Kex237 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Healthstat on-Site Clinic/VSG

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Madison, IN
  • NPI 1659707925
  NPD tax ID
• Healthstat Onsite Clinic-Keihin Greenfield

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Greenfield, IN
  • NPI 1225494081
  NPD tax ID

Locations

Practitioners 2

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

• Stephanie Hillers, RN, MSN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Greenfield, IN
  • NPI 1710185756
  NPD (past)
• Jentry E O'Daniel, PA

  • Physician Assistant
  • Fishers, IN
  • NPI 1720463532
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1104280064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SUPERIOR DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473036436",
            "telephone_number": "657-282-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAT ONSITE CLINIC KEIHIN MUNCIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "704-529-6161"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Allen Hazen, PT, ATC, LAT
• Gary Robert Hazlett, M.D.
• Health Care Connections, Inc
• Health Care Connections, Inc.
• Healthcare Centers of Indiana, LLC
• Hearing Center, Inc.
• Heart to Home Personal Care Services LLC
• Heartland Community Services Foundation
• Hallie Heath
• Tracy Kay Heath, NP

• All providers in Muncie, IN
• Preventive Medicine/Occupational Environmental Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.