Dedicated Indiana Holding LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEDICATED INDIANA HOLDING LLC

Doing business as

Dedicated Senior Medical Center East Warren

Practice address

8118 E Washington St
Indianapolis, IN 46219-6814

Phone

(463) 213-3300

Fax

(463) 213-3220

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 628-6117

Specialties & licenses 1

Addresses

Other names 1

• DEDICATED SENIOR MEDICAL CENTER EAST WARREN Doing business as

Locations

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.

• Gordon Lee Chen, M.D.

  • Internal Medicine Physician
  • Opa Locka, FL
  • NPI 1912108317
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1265211742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196814",
            "telephone_number": "463-213-3300",
            "fax_number": "463-213-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED INDIANA HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER EAST WARREN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trevor Decker, DO
• Kate Elizabeth Decleene, OTD, MS, OTR
• Megan Dedeic
• Dedicated 2 Help LLC
• Dedicated Home Care LLC
• Anthony Michael Dee, DMD
• Dee's Home Care Inc
• Megan Ann Deeb, MD
• Mark A Deeg, M.D.
• Conrad Emerson Deel, M.D.

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.