University Heights Health & Living Community

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05002711A Issued in IN

Legal business name

UNIVERSITY HEIGHTS HEALTH & LIVING COMMUNITY

Practice address

1380 E County Line Rd
Indianapolis, IN 46227-0962

Phone

(317) 888-3581

Fax

(317) 885-1022

NPI assigned

Sep 8, 2008

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CARDON & ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Stephen Moore, M.D.NPI 1073815882

Title

Owner/Ceo

Phone

(812) 332-2265

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Stephen G Moore, M.D.

  • Specialist
  • Bloomington, IN
  • NPI 1073815882
  Authorized official Same address or phone

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1275781866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270962",
            "telephone_number": "317-888-3581",
            "fax_number": "317-885-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270962",
            "telephone_number": "317-888-3581",
            "fax_number": "317-885-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEIGHTS HEALTH & LIVING COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDON & ASSOCIATES",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "812-332-2265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "05002711A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002711A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON ID PIN # FOR ANTHEM",
            "identifier": "113911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Family Physicians, Inc.
• University Family Physicians, Inc.
• University Family Physicians,Inc
• University General Surgeons, Inc.
• University Heights Anesthesiologists, LLC
• University Heights Preparatory Academy (Fountain Square Academy)
• University Medical Diagnostic Associates
• University Medical Diagnostic Associates, Inc.
• University Neurosurgical Associates, Inc.
• University Obstetricians-Gynecologists,Inc

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.