Organization Active NPI

Northside Cardiac Cath Lab Partnership

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1376583237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTHSIDE CARDIAC CATH LAB PARTNERSHIP
Practice address
8333 Naab Rd
Ste 180B
Indianapolis, IN 46260-5924
Phone
(317) 338-9001
Fax
(317) 338-9045
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lana S. Lehman
Title
Executive Vice President
Phone
(317) 338-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X IN Primary

Addresses

Primary practice location

8333 Naab Rd
Ste 180B
Indianapolis, IN 46260-5924

Mailing address

8333 Naab Rd
Ste 180B
Indianapolis, IN 46260-5924
Phone (317) 338-9001

Other identifiers 1

IdentifierTypeStateIssuer
CN0743OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

8333 Naab Rd
Ste 180B
Indianapolis, IN 46260
Phone (317) 338-9001

8333 Naab Rd
#180B
Indianapolis, IN 46260
Phone (317) 338-6666

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376583237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD",
            "address_2": "STE 180B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605924",
            "telephone_number": "317-338-9001",
            "fax_number": "317-338-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD",
            "address_2": "STE 180B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605924",
            "telephone_number": "317-338-9001",
            "fax_number": "317-338-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CARDIAC CATH LAB PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "317-338-6666"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN0743",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.