NPIMap

Organization Active NPI

Planned Parenthood of Indiana Georgetown

  • Non-Surgical Family Planning Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1124377924
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
01041899A Issued in IN
Legal business name
PLANNED PARENTHOOD OF INDIANA GEORGETOWN
Practice address
8590 Georgetown Rd.
Indianapolis, IN 46268
Phone
(317) 872-3115
Fax
(317) 872-3188
NPI assigned
Sep 7, 2012
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF INDIANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Ms. Suzannah Wilson Overholt, J.D.
Title
Vice President, Finance & Administr
Phone
(317) 637-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 01041899A IN Primary

Addresses

Primary practice location

8590 Georgetown Rd.
Indianapolis, IN 46268

Mailing address

200 S. Meridian St.
Suite 400
Indianapolis, IN 46225
Phone (317) 637-4343

Other identifiers 2

IdentifierTypeStateIssuer
2002955610MedicaidIN
100326600MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Indiana Terre Haute30 organizations share this tax ID, including this one
Part of
Planned Parenthood of Indiana Terre Haute

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

200 S Meridian St
Ste 400
Indianapolis, IN 46225
Phone (317) 637-4343

8590 Georgetown Rd
Indianapolis, IN 46268
Phone (317) 842-3115

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1124377924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. MERIDIAN ST.",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46225",
            "telephone_number": "317-637-4343",
            "fax_number": "317-637-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 GEORGETOWN RD.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46268",
            "telephone_number": "317-872-3115",
            "fax_number": "317-872-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF INDIANA GEORGETOWN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF INDIANA, INC.",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "OVERHOLT",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE & ADMINISTR",
        "authorized_official_telephone_number": "317-637-4166",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "IN",
            "license": "01041899A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002955610",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100326600",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2012; 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.