Active NPI
Community Hospitals of Indiana, Inc.
Doing business as Fishers Family Care
- Family Medicine Physician
- Fishers, IN
National Provider Identifier
1255579702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2009
- 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
- Jeffery Kirkham
- Title
- Cfo
- Phone
- (317) 355-5822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000602393 | Other | IN | ANTHEM |
Other names 1
- Fishers Family Care
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Indianapolis, IN
- NPI 1508826207
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
- Community Hospitals of Indiana Inc (Cumberland Crossing Family Physicians)
- Community Hospitals of Indiana Inc (Jane Pardieck MD LLC)
- Community Hospitals of Indiana Inc (Brillhart OB GYN)
- Community Hospitals of Indiana Inc (MedCheck Express)
- Community Hospitals of Indiana Inc (Parkside Internal Medicine)
- Community Imaging Associates, LLC (Community Breast Screening-Saxony)
- Community Physicians of Indiana Inc
- Community Physicians of Indiana Inc (HSE Health and Wellness)
- Community Rehab Sefvices - Olio
- Community Surgical Associates PC
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.