Mdwise, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MDWISE, INC.

Practice address

1200 Madison Ave Ste 400
Indianapolis, IN 46225-1616

Phone

(317) 822-7306

NPI assigned

Mar 22, 2019

Last updated

Mar 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MCLAREN HEALTH CAREAs reported in NPPES

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

Authorized official

Name

Jason Donald Fricke

Title

Director of Market Performance

Phone

(317) 822-7320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1417417718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MADISON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251616",
            "telephone_number": "317-822-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MADISON AVE STE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251616",
            "telephone_number": "317-822-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDWISE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLAREN HEALTH CARE",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR OF MARKET PERFORMANCE",
        "authorized_official_telephone_number": "317-822-7320"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Maintenance Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.