Professional Staff Management

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Legal business name

PROFESSIONAL STAFF MANAGEMENT

Practice address

705 Riley Hospital Drive
Rr127 Riley Hospital for Children,
Indianapolis, IN 46202-5225

Phone

(317) 274-8906

Fax

(317) 274-4022

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Bronson Troyer, BA

Title

Administrator for Upa

Phone

(317) 274-2029

Specialties & licenses 1

Addresses

Other names 1

• University Pediatric Associates Doing business as

Locations

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1255600862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S 5TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745412",
            "telephone_number": "765-935-1515",
            "fax_number": "765-962-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DRIVE",
            "address_2": "RR127 RILEY HOSPITAL FOR CHILDREN,",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025225",
            "telephone_number": "317-274-8906",
            "fax_number": "317-274-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL STAFF MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "BRONSON",
        "authorized_official_title_or_position": "ADMINISTRATOR FOR UPA",
        "authorized_official_telephone_number": "317-274-2029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Exercise Physiologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Exercise Physiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.