NPIMap

Organization Active NPI

Wound Care Specialists of Indiana PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Carmel, IN
National Provider Identifier
1275667677
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
50004699A Issued in IN
Legal business name
WOUND CARE SPECIALISTS OF INDIANA PC
Practice address
1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707
Phone
(800) 927-6316
Fax
(888) 505-6818
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Dr. Jodie R Harper, M.D.
Title
President
Phone
(317) 796-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 50004699A IN Primary

Addresses

Primary practice location

1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707

Mailing address

1200 W Carmel Dr Ste 103
Carmel, IN 46032-8707
Phone (800) 927-6316

Other identifiers 4

IdentifierTypeStateIssuer
200361260MedicaidIN
000000368687OtherINANTHEM GROUP NUMBER
1003817297OtherINNPI
1275667677OtherNPI - GROUP

Other names 1

  • Jodie R. Harper, MD, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1200 W Carmel Dr
Ste 103
Carmel, IN 46032
Phone (317) 796-3897

6525 E 82nd St
Ste 210J
Indianapolis, IN 46250
Phone (317) 709-0706

55 Willow St
Nashville, IN 47448
Phone (812) 331-3409

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1275667677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "800-927-6316",
            "fax_number": "888-505-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W CARMEL DR STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328707",
            "telephone_number": "800-927-6316",
            "fax_number": "888-505-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SPECIALISTS OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-796-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "50004699A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200361260",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000368687",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003817297",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - GROUP",
            "identifier": "1275667677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jodie R. Harper, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.