Active NPI
Iipuc
- Primary Care Clinic/Center
- Indianapolis, IN
National Provider Identifier
1255188587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- IIPUC
- Practice address
- 1935 N Capitol Ave
Indianapolis, IN 46202-6403 - Phone
- (317) 920-1111
- NPI assigned
- May 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Graham, NP
- Title
- DNP
- Phone
- (463) 224-3210
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
Addresses
Primary practice location
1935 N Capitol Ave
Indianapolis, IN 46202-6403
Mailing address
PO Box 186
Lebanon, IN 46052-0186
Phone (463) 224-3210
Other names 1
- AUR CLINIC
National Provider Directory
National Provider DirectoryLocations
1935 N Capitol Ave
Indianapolis, IN 46202
Phone (317) 923-4822
1935 N Capitol Ave
Ste 100
Indianapolis, IN 46202
Phone (463) 224-3210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Carmel, IN
- NPI 1649828211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714694400000",
"number": "1255188587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "LEBANON",
"state": "IN",
"postal_code": "460520186",
"telephone_number": "463-224-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 N CAPITOL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462026403",
"telephone_number": "317-920-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IIPUC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "DNP",
"authorized_official_telephone_number": "463-224-3210",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AUR CLINIC",
"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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.