NPIMap

Organization Active NPI

Community Hospitals of Indiana Inc

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
National Provider Identifier
1124072574
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Practice address
7120 Clearvista Drive
Suite 3500
Indianapolis, IN 46256-1738
Phone
(317) 621-2312
Fax
(317) 621-2311
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Jeffery Kirkham
Title
Cfo
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7120 Clearvista Drive
Suite 3500
Indianapolis, IN 46256-1738

Mailing address

7120 Clearvista Drive
Suite 3500
Indianapolis, IN 46256-1738
Phone (317) 621-2312

Other identifiers 1

IdentifierTypeStateIssuer
200325490UMedicaidIN

Other names 1

  • Castleton OB GYN Doing business as

National Provider Directory

National Provider Directory

Locations

13050 Parkside Dr
Ste 100
Fishers, IN 46038
Phone (317) 621-2312

7250 Clearvista Dr
Ste 240
Indianapolis, IN 46256
Phone (317) 298-4282

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1124072574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CLEARVISTA DRIVE",
            "address_2": "SUITE 3500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561738",
            "telephone_number": "317-621-2312",
            "fax_number": "317-621-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 CLEARVISTA DRIVE",
            "address_2": "SUITE 3500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561738",
            "telephone_number": "317-621-2312",
            "fax_number": "317-621-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325490U",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleton OB GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.