NPIMap

Organization Active NPI

Indiana University School of Medicine

  • Special Hospital
  • Zionsville, IN
National Provider Identifier
1568629178
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
11012602A Issued in IN
Legal business name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Practice address
4024 Eldor Flower Dr
Zionsville, IN 46077-8585
Phone
(317) 402-9554
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Alyssa D Wait, MD
Title
Surgery Resident
Phone
(317) 402-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 11012602A IN Primary

Addresses

Primary practice location

4024 Eldor Flower Dr
Zionsville, IN 46077-8585

Mailing address

4024 Eldor Flower Dr
Zionsville, IN 46077-8585
Phone (317) 402-9554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1568629178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 ELDOR FLOWER DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778585",
            "telephone_number": "317-402-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 ELDOR FLOWER DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778585",
            "telephone_number": "317-402-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WAIT",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SURGERY RESIDENT",
        "authorized_official_telephone_number": "317-402-9554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": "11012602A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.