Iu Medical Group

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

IU MEDICAL GROUP

Practice address

1002 Wishard Blvd
4TH Floor
Indianapolis, IN 46202-2872

Phone

(317) 692-2323

NPI assigned

Mar 24, 2012

Last updated

Mar 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celia Surface-Bruder

Title

Coo

Phone

(317) 871-8812

Specialties & licenses 1

Addresses

Tax ID family

Eskenazi Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eskenazi Medical Group Inc

  dba Lifestyle Medicine Clinic

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Indianapolis, IN
  • NPI 1811407729
  NPD tax ID

Locations

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332547200000",
    "number": "1538435524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 PURDUE RD",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683161",
            "telephone_number": "317-692-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WISHARD BLVD",
            "address_2": "4TH FLOOR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022872",
            "telephone_number": "317-692-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IU MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A",
        "authorized_official_last_name": "SURFACE-BRUDER",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-871-8812"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iu Anesthesiology Associates-Pediatrics, LLC
• Iu Anesthesiology Associates, LLC
• Iu Health East Washington Ambulatory Surgery Center, LLC (East Washington Surgery Center)
• Iu Health Medical Group Riley Specialists, LLC
• Iu Health Medical Group, LLC
• Iumg Corporate Health & Wellness, LLC
• Iupui Health Services
• Alyssa Iurillo
• Iva's Homecare LLC
• Ivan Legoas Crna, LLC

• Adult Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.