Indiana University-Methodist Hospital

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

881093 Issued in IN

Legal business name

INDIANA UNIVERSITY-METHODIST HOSPITAL

Doing business as

Clarian Health Medical Group

Practice address

1802 N Senate Ave
West Suite 402
Indianapolis, IN 46202

Phone

(317) 962-2000

Fax

(317) 962-2003

NPI assigned

Jun 16, 2016

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA -PURDUE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dr. Styestovia Yestee Stlaudereas, JD:/MD;DDO:FACES:PHA

Title

Vascular Interventional Tech

Phone

(317) 962-2000

Specialties & licenses 1

Addresses

Other names 1

• CLARIAN HEALTH MEDICAL GROUP Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Indiana University and Purdue University

  • Specialist
  • Indianapolis, IN
  • NPI 1881895449
  NPPES parent name

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1568812949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E 34TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462266401",
            "telephone_number": "317-962-2000",
            "fax_number": "317-962-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N SENATE AVE",
            "address_2": "WEST SUITE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-962-2000",
            "fax_number": "317-962-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY-METHODIST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA -PURDUE UNIVERSITY",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "STLAUDEREAS",
        "authorized_official_first_name": "STYESTOVIA",
        "authorized_official_middle_name": "YESTEE",
        "authorized_official_title_or_position": "VASCULAR INTERVENTIONAL TECH",
        "authorized_official_telephone_number": "317-962-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "JD:/MD;DDO:FACES:PHA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IN",
            "license": "881093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARIAN HEALTH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana University School of Medicine
• Indiana University School of Medicine
• Indiana University School of Medicine
• Indiana University School of Medicine Department of Surgery
• Indiana University School of Medicine, Department of Pathology and Lab
• Indiana Univesity
• Indiana Urgent Care Centers, LLC (Indy Urgent Care)
• Indiana Vascular Surgeons, PC
• Indiana Vascular Surgery Center LLC
• Indiana Vision Improvement Center

• Health Maintenance Organization in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Maintenance Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.