The Indiana Clinical Trials Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71005371A Issued in IN

Legal business name

THE INDIANA CLINICAL TRIALS CENTER

Practice address

1100 Southfield Dr Ste 1240
Plainfield, IN 46168-4499

Phone

(317) 837-6082

Fax

(317) 837-6080

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Scott T Guenthner, MD

Title

Ceo

Phone

(317) 837-6082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1376935247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1240",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-837-6082",
            "fax_number": "317-837-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1240",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-837-6082",
            "fax_number": "317-837-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INDIANA CLINICAL TRIALS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-837-6082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005371A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Katherine Taft
• Dalia Awny Tawfeek, OD
• Vaune R Taylor
• Antianna Terrell
• Andreis Terry
• Kayleigh Theobald, RBT
• Raman Thind
• Hannah Thomas, RBT
• Mackenzie Thomas
• Thompson Family Eyecare, Inc

• Family Nurse Practitioner in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.