Everside Health at Enkei
Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Columbus, IN
NPI 1295516474 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1295516474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- Legal business name
- EVERSIDE HEALTH AT ENKEI
- Practice address
- 6220 Inwood Dr
Columbus, IN 47201-2829 - Phone
- (812) 373-6488
- NPI assigned
- Oct 12, 2023
- Organization subpart
- No
Authorized official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Corporate family (same tax ID) 22
Practitioners 2
-
Mindy Brock, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2294874 | Everside Health at Enkei | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
- Tax ID family
- Everside Health LLC
Locations
7625 S Layton Rd
Anderson, IN 46011
Phone (463) 777-0180
909 S Main St
Martinsville, IN 46151
Phone (765) 343-7040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician |
2083P0500X | Yes |
Addresses
Primary practice location
6220 Inwood Dr
Columbus, IN 47201-2829
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Other providers in Columbus, IN
- Evans Psychological and Counseling Services, LLC
- Karl Evans
- Eventus Wholehealth Midwest Inc
- Alexis Everitt
- Jennifer Everroad
- Everside Health at NTN Columbus W Goeller
- Lawrence Donald Ewert
- Michelle Ann Ewing
- Victoria Ewing
- Eyemart Express LLC
All providers in Columbus, IN · Preventive Medicine/Occupational Environmental Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.