NPIMap

Organization Active NPI

Cardinal Health Partners, LLC

  • Pediatrics Physician
  • Muncie, IN
National Provider Identifier
1285669408
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CARDINAL HEALTH PARTNERS, LLC
Practice address
205 N Tillotson Ave
Suite 201B
Muncie, IN 47304-3900
Phone
(765) 281-4599
Fax
(765) 751-2335
NPI assigned
Jul 12, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jan Vangets
Title
Coo Physician Network Services
Phone
(765) 730-5109

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Partners LL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

205 N Tillotson Ave
Suite 201B
Muncie, IN 47304-3900

Mailing address

205 N Tillotson Ave
Suite 201B
Muncie, IN 47304-3900
Phone (765) 281-4599

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200227660AMedicaidIN

Other names 1

NPPES NPI Registry
  • PrimeTime Pediatrics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2008.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1285669408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE",
            "address_2": "SUITE 201B",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-281-4599",
            "fax_number": "765-751-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE",
            "address_2": "SUITE 201B",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-281-4599",
            "fax_number": "765-751-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VANGETS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COO PHYSICIAN NETWORK SERVICES",
        "authorized_official_telephone_number": "765-730-5109"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimeTime Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.