Indiana Heart Hospital LLC

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

INDIANA HEART HOSPITAL LLC

Practice address

14540 Prairie Lakes Blvd North
Suite 105
Noblesville, IN 46060-4370

Phone

(317) 621-0370

Fax

(317) 621-0381

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Thomas A Malsto

Title

Ceo

Phone

31776218000

Specialties & licenses 1

Addresses

Other names 1

• Community Pedicatric Orthopedics and Sports Medicine Doing business as

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1316239262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 CASTLETON WEST DRIVE",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501940",
            "telephone_number": "317-621-0919",
            "fax_number": "317-355-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 PRAIRIE LAKES BLVD NORTH",
            "address_2": "SUITE 105",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604370",
            "telephone_number": "317-621-0370",
            "fax_number": "317-621-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "MALSTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "31776218000"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pedicatric Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ijri Noblesville ASC, LLC
• Eustacia M Imler, OD
• Indiana Adoption Counseling, Inc.
• Indiana Hearing Aid at Noblesville
• Indiana Hearing Aid at Noblesville
• Indiana Joint Replacement Institute
• Indiana Micro Hospital, LLC
• Indiana Neuroscience Associates
• Indiana Oncology Hematology Consultants
• Indiana Podiatry Group, Inc

• Pediatric Orthopaedic Surgery Physician in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Pediatric Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.