Community Hospitals of Indiana Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY HOSPITALS OF INDIANA INC

Doing business as

Pendleton Medical Group

Practice address

1251 Huntzinger Blvd
Suite 100
Pendleton, IN 46064-9493

Phone

(765) 298-4567

Fax

(765) 298-4567

NPI assigned

Jul 21, 2006

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Kirkham

Title

Cfo

Phone

(317) 355-5822

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pendleton Medical Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci A Anderson, D.O.

  • Family Medicine Physician
  • Pendleton, IN
  • NPI 1619911757
  NPD (past)
• Darcy L Henson, MD

  • Family Medicine Physician
  • Fishers, IN
  • NPI 1043376924
  NPD (past)
• Eric C Jones, M.D.

  • Family Medicine Physician
  • Pendleton, IN
  • NPI 1841207255
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1346261971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 HUNTZINGER BLVD",
            "address_2": "SUITE 100",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649493",
            "telephone_number": "765-298-4567",
            "fax_number": "765-298-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 HUNTZINGER BLVD",
            "address_2": "SUITE 100",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649493",
            "telephone_number": "765-298-4567",
            "fax_number": "765-298-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200849300A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC6886",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pendleton Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Chambers, MS, ATC, LAT
• Theodosis J Chronis, DO
• Classic Sleepcare, LLC
• Kaylee Clendenen, RBT
• Mitchell Brian Cobb
• Daryl V Cowan, D.C.
• Catheran Alice Crafton, OD
• Megan Daberko, NP
• Jamie Davis
• Dennis L. Fast MD Inc

• Family Medicine Physician in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.