Organization Active NPI

Community Hospitals of Indiana, Inc.

Doing business as Fishers Family Care

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1255579702
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA, INC.
Doing business as
Fishers Family Care
Practice address
13050 Parkside Dr
Suite 230
Fishers, IN 46038-8235
Phone
(317) 621-1500
Fax
(317) 621-1509
NPI assigned
Jan 21, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

13050 Parkside Dr
Suite 230
Fishers, IN 46038-8235

Mailing address

13050 Parkside Drive
Suite 230
Fishers, IN 46038-8235
Phone (317) 621-1500

Other identifiers 1

IdentifierTypeStateIssuer
000000602393OtherINANTHEM

Other names 1

  • Fishers Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

13050 Parkside Dr
Ste 230
Fishers, IN 46038
Phone (317) 588-5757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1255579702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 PARKSIDE DRIVE",
            "address_2": "SUITE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388235",
            "telephone_number": "317-621-1500",
            "fax_number": "317-621-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 PARKSIDE DR",
            "address_2": "SUITE 230",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388235",
            "telephone_number": "317-621-1500",
            "fax_number": "317-621-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-04-07",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000602393",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishers Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.