Organization Active NPI

Prevmed Health Services, PC

  • Podiatrist
  • Greenwood, IN
National Provider Identifier
1295241248
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PREVMED HEALTH SERVICES, PC
Practice address
1499 Windhorst Way Ste 100
Greenwood, IN 46143-8800
Phone
(317) 886-6639
Fax
(888) 547-0377
NPI assigned
Dec 28, 2017
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Keith Walls
Title
Cfo
Phone
(317) 522-2057

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Optician 156FX1800X NU
Podiatrist 213E00000X NU Primary
Audiologist 231H00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU
Hearing Instrument Specialist 237700000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

1499 Windhorst Way Ste 100
Greenwood, IN 46143-8800

Mailing address

1499 Windhorst Way Ste 120
Greenwood, IN 46143-8800
Phone (317) 886-6639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1295241248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 120",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 WINDHORST WAY STE 100",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438800",
            "telephone_number": "317-886-6639",
            "fax_number": "888-547-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVMED HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-522-2057"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.