Iumg Corporate Health & Wellness, LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

IUMG CORPORATE HEALTH & WELLNESS, LLC

Practice address

250 University Blvd
Indianapolis, IN 46202-5137

Phone

(317) 274-4402

Fax

(317) 274-5168

NPI assigned

Aug 19, 2006

Organization subpart

Yes

Parent organization

UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Deborah Stombaugh

Title

Vice Chair of Finance

Phone

(317) 274-1438

Specialties & licenses 1

Addresses

Part of

Ali Sonel MD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1508971847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 UNIVERSITY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025137",
            "telephone_number": "317-274-4402",
            "fax_number": "317-274-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IUMG CORPORATE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.",
        "enumeration_date": "2006-08-19",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "STOMBAUGH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE CHAIR OF FINANCE",
        "authorized_official_telephone_number": "317-274-1438"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.