Active NPI
Indiana University Health North Hospital, Inc
- Surgery Physician
- Carmel, IN
National Provider Identifier
1396765731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- INDIANA UNIVERSITY HEALTH NORTH HOSPITAL, INC
- Practice address
- 11725 N Illinois St
Carmel, IN 46032-3008 - Phone
- (317) 962-4836
- Fax
- (317) 962-4391
- NPI assigned
- Jul 20, 2006
- Last updated
- Nov 4, 2015
- Organization subpart
- Yes
- Parent organization
- INDIANA UNIVERSITY HEALTH, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan R Goble
- Title
- President, Ceo
- Phone
- (317) 962-4836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IN | Primary |
Addresses
Primary practice location
11725 N Illinois St
Carmel, IN 46032-3008
Mailing address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 962-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200815390A | Medicaid | IN |
Other names 1
- Clarian Health North LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Clinical Laboratory SVC
Locations
2854 Reliable Pkwy
Chicago, IL 60686
2854 Reliable Pkwy
#862854
Chicago, IL 60686
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
Practitioners & affiliated clinicians
Practitioners 92
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.
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- Indianapolis, IN
- NPI 1134532583
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1841684768
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Indianapolis, IN
- NPI 1346565371
-
- Sleep Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1063442994
-
- Critical Care Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1598878605
-
- Neurology Physician
- Indianapolis, IN
- NPI 1437132735
-
- Pulmonary Disease Physician
- Carmel, IN
- NPI 1366444226
-
- Critical Care Medicine (Internal Medicine) Physician
- Lafayette, IN
- NPI 1003270786
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1942794227
-
- Critical Care Medicine (Internal Medicine) Physician
- Muncie, IN
- NPI 1316915911
-
- Sleep Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1013073543
-
- Sleep Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1457659930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1396765731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"address_2": "SUITE 130",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959",
"telephone_number": "317-962-4836",
"fax_number": "317-962-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11725 N ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323008",
"telephone_number": "317-962-4836",
"fax_number": "317-962-4391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA UNIVERSITY HEALTH NORTH HOSPITAL, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH, INC",
"enumeration_date": "2006-07-20",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "GOBLE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "317-962-4836"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200815390A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarian Health North LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Carmel, IN
- Indiana Spine Hospital, LLC (Indiana Spine Hospital)
- Indiana Spine Specialty, LLC
- Indiana Ultrasound Diagnostics
- Indiana University Health Ambulatory Surgery Centers, LLC (IU Health Endoscopy Center - Spring Mill)
- Indiana University Health North Hospital Inc (IU Health North Hospital)
- Indiana University Health North Hospital, Inc. (Indiana University Health North Hospital)
- Indiana University Health, Inc (North Retail Pharmacy)
- Indiana University Health, Inc (Expressions Home Medical Equipment)
- Indiana Vein Specialists, LLC
- Indiana Wound Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.