Fishers Clinic and Med Spa LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FISHERS CLINIC AND MED SPA LLC

Practice address

13578 E 131St St Ste 101
Fishers, IN 46037-6401

Phone

(317) 800-7981

NPI assigned

Sep 2, 2024

Last updated

Sep 2, 2024By 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

Mandeep Kapoor, NPNPI 1912601691

Title

Ceo

Phone

(646) 724-9694

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mandeep Kapoor, NP

  • Family Nurse Practitioner
  • Greenwood, IN
  • NPI 1912601691
  NPD (past) Authorized official

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1568296481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431190586",
            "telephone_number": "765-969-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13578 E 131ST ST STE 101",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376401",
            "telephone_number": "317-800-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS CLINIC AND MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-724-9694",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstsource Laboratory Solutions, Inc.
• Lorna Fischer
• Courtney Fisher
• Fishers Ambulatory Surgery Center, LLC
• Fishers Care LLC
• Fishers Dental Care, P.C.
• Fishers Digestive Care
• Fishers Eye Care Optometry LLC
• Fishers Eye Care, LLC
• Fishers Family Dental, LLC

• Family Medicine Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.