Active NPI
Center for Optimal Health
- Gynecology Physician
- Bloomington, IN
National Provider Identifier
1528369428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 01064349
- Legal business name
- CENTER FOR OPTIMAL HEALTH
- Practice address
- 415 W First Street
Bloomington, IN 47403 - Phone
- (812) 333-9650
- NPI assigned
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elvia A Greathouse
- Title
- M.D
- Phone
- (812) 333-9650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 01064349 | CO | Primary |
Addresses
Primary practice location
415 W First Street
Bloomington, IN 47403
Mailing address
415 W First Street
Bloomington, IN 47403
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bloomington, IN
- NPI 1841399540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1528369428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W FIRST STREET",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W FIRST STREET",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-333-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR OPTIMAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "GREATHOUSE",
"authorized_official_first_name": "ELVIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "M.D",
"authorized_official_telephone_number": "812-333-9650"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CO",
"license": "01064349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
- Laci C Caudell, NP-C
- James P Caughlin, MD
- Hanna Caywood
- Holly Cedar
- Center for Advanced Laparoscopic and Bariatric Surgery, LLC
- Centerstone Health Services, Inc
- Centerstone of Indiana, Inc.
- Centerstone of Indiana, Inc.
- Central Brace & Limb Co., Inc.
- Central Indiana Orthopedics LLC (OrthoAlliance of Indiana)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.