Active NPI
Ted J Westlund, PA
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000142A
- Practice address
- 8805 N Meridian St
Indianapolis, IN 46260-2760 - Phone
- (317) 706-7246
- Fax
- (317) 706-3419
- NPI assigned
- Mar 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000142A | IN | Primary |
Addresses
Primary practice location
8805 N Meridian St
Indianapolis, IN 46260-2760
Mailing address
8805 N Meridian St
Indianapolis, IN 46260-2760
Phone (317) 706-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000142A | Other | IN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000142A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadeland Anesthesia & Pain Associates Inc. | Current | Accepting new patients | |
| Shadeland Anesthesia & Pain Associates Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
4425 Reliable Pkwy
Chicago, IL 60686
29943 Network Pl
Chicago, IL 60673
97 Dover St
Ste 100
Avon, IN 46123
7950 Ortho Ln
Brownsburg, IN 46112
Phone (317) 268-3600
11595 N Meridian St
Ste 402
Carmel, IN 46032
533 E County Line Rd
Ste 201A
Greenwood, IN 46143
Phone 3177067246309
8805 N Meridian St
Indianapolis, IN 46260
Phone 3177067246109
1 American Sq
Ste 165
Indianapolis, IN 46282
Phone (317) 955-3988
3559 Newton St
Jasper, IN 47546
Phone (812) 437-7246
2302 S Dixon Rd
Ste 150
Kokomo, IN 46902
Phone (317) 453-1205
3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780
3750 Landmark Dr
Lafayette, IN 47905
Phone (765) 807-2780
107 N 2nd St
Rockport, IN 47635
Phone (812) 437-7246
Interoperability endpoints
- tedwestlund@cfpm.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Indianapolis, IN
- NPI 1477589000
-
- Durable Medical Equipment & Medical Supplies
- Brownsburg, IN
- NPI 1376429555
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1275874497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8805 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602760",
"telephone_number": "317-706-7246",
"fax_number": "317-706-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 N MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602760",
"telephone_number": "317-706-7246",
"fax_number": "317-706-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTLUND",
"first_name": "TED",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000142A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "10000142A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.