Organization Active NPI

His Solutions Health Care LLC

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1174824908
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HIS SOLUTIONS HEALTH CARE LLC
Practice address
720 W 8TH St
Anderson, IN 46016-1206
Phone
(765) 393-3457
Fax
(765) 393-3458
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Ms. Wendy L Shannon, NP
Title
Ceo
Phone
(765) 393-3457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IN Primary

Addresses

Primary practice location

720 W 8TH St
Anderson, IN 46016-1206

Mailing address

720 W 8TH St
Anderson, IN 46016-1206
Phone (765) 393-3457

Other identifiers 1

IdentifierTypeStateIssuer
201323020AMedicaidIN

National Provider Directory

National Provider Directory

Locations

720 W 8th St
Anderson, IN 46016
Phone (765) 288-1110

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1174824908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161206",
            "telephone_number": "765-393-3457",
            "fax_number": "765-393-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460161206",
            "telephone_number": "765-393-3457",
            "fax_number": "765-393-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS SOLUTIONS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-393-3457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201323020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.