Active NPI
Hendricks County Hospital
Doing business as Plainfield Family Medicine
- Family Medicine Physician
- Plainfield, IN
National Provider Identifier
1356442149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HENDRICKS COUNTY HOSPITAL
- Doing business as
- Plainfield Family Medicine
- Practice address
- 1100 Southfield Dr
Suite 1312
Plainfield, IN 46168-4498 - Phone
- (317) 837-5555
- Fax
- (317) 838-5556
- NPI assigned
- Sep 26, 2006
- Last updated
- Jun 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geni S Klayer, RN, BSN, MBA
- Title
- Physician Network Director
- Phone
- (317) 837-5571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1100 Southfield Dr
Suite 1312
Plainfield, IN 46168-4498
Mailing address
1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571
Other names 1
- Plainfield Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040811000309 | IN | Part B Supplier - Clinic/Group Practice | 4880505528 |
Receives reassigned benefits from 431 practitioners This NPI is an additional NPI on the enrollment Practice locations: Brownsburg, IN; Danville, IN; Greencastle, IN; Lizton, IN; Plainfield, IN; Avon, IN; Bainbridge, IN |
National Provider Directory
National Provider DirectoryLocations
1100 Southfield Dr
Ste 1312
Plainfield, IN 46168
Phone (317) 837-5555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1356442149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTHFIELD DR",
"address_2": "SUITE 1370",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461684498",
"telephone_number": "317-837-5571",
"fax_number": "317-837-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SOUTHFIELD DR",
"address_2": "SUITE 1312",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461684498",
"telephone_number": "317-837-5555",
"fax_number": "317-838-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "KLAYER",
"authorized_official_first_name": "GENI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN NETWORK DIRECTOR",
"authorized_official_telephone_number": "317-837-5571",
"authorized_official_credential": "RN, BSN, MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Plainfield Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plainfield, IN
- Makayla Helt, RBT
- Erica Hendress, FNP
- Hendricks Community Hospital (Plainfield Wellness Center)
- Hendricks County Hospital (Stafford Pointe Family Physicians)
- Hendricks County Hospital (Hendricks Rheumatology)
- Hendricks County Hospital (Indiana Adult & Pediatric Medicine)
- Hendricks County Hospital (Plainfield Health Care Center)
- Hendricks County Hospital (Hendricks Regional Health Medical Group)
- Hendricks County Hospital (Hendricks Regional Health Immediate Care)
- Hendricks County Psychotherapy PSC (Hendricks Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.