Cheyenne Enterprises

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02003529B Issued in IN

Legal business name

CHEYENNE ENTERPRISES

Doing business as

Sure Success Medical

Practice address

6100 N Keystone Ave
Suite 105
Indianapolis, IN 46220-2452

Phone

(317) 253-7795

Fax

(317) 253-7798

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By 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

Sheila B Thomas, DONPI 1669418935

Title

Sole Proprietor

Phone

(317) 253-7795

Specialties & licenses 1

Addresses

Other names 1

• Sure Success Medical Doing business as

Locations

Practitioners 1

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.

• Sheila B. Thomas, D.O.

  • Family Medicine Physician
  • Carmel, IN
  • NPI 1669418935
  Authorized official Same address or phone

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1396160339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 N KEYSTONE AVE",
            "address_2": "SUITE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202452",
            "telephone_number": "317-253-7795",
            "fax_number": "317-253-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 N KEYSTONE AVE",
            "address_2": "SUITE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202452",
            "telephone_number": "317-253-7795",
            "fax_number": "317-253-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-253-7795",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003529B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sure Success Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Marie Chettleburgh, PT, DPT
• Amy Cheung, MD
• Pamela Chevillet, LAT,ATC
• Brittany Lynne Cheviron, LSCW
• Tamera A. Cheviron
• Matthew Cade Chezem
• Manish N Chheda
• Lea N Chhiba, DO
• Rachel Chhiba, D.P.M.
• Jageer Chhina

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, 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 Feb 27, 2014; 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.