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

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, DO

Title

Sole Proprietor

Phone

(317) 253-7795

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sure Success Medical Doing business as

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200953660",
            "state": "IN"
        }
    ],
    "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.