NPIMap

Organization Active NPI

Indiana University Health Ball Memorial Physicians, Inc.

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1376854935
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.
Practice address
1500 Neely Ave
Room 008
Muncie, IN 47306-0816
Phone
(765) 285-1106
NPI assigned
Jun 29, 2010
Organization subpart
Yes
Parent organization
A PARTNER WITH IU HEALTH BALL MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Janet L Vangets
Title
Director/Officer
Phone
(765) 751-5404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1500 Neely Ave
Room 008
Muncie, IN 47306-0816

Mailing address

221 N Celia Ave
Attn: Debera Barker
Muncie, IN 47303-4609
Phone (765) 282-8905

Other names 1

  • Ball State Employee QuickClinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southway Health and Dia16 organizations share this tax ID, including this one
Part of
Southway Health and Dia

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1376854935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "address_2": "ATTN: DEBERA BARKER",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-282-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NEELY AVE",
            "address_2": "ROOM 008",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060816",
            "telephone_number": "765-285-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A PARTNER WITH IU HEALTH BALL MEMORIAL HOSPITAL",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "VANGETS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "765-751-5404"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ball State Employee QuickClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.