NPIMap

Organization Active NPI

Md2U Indiana LLC

  • Primary Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1598070740
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MD2U INDIANA LLC
Practice address
8888 Keystone Xing
Suite 1300
Indianapolis, IN 46240-4609
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
Aug 12, 2010
Organization subpart
Yes
Parent organization
MD2U MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Gregory D Latta
Title
Business Manager
Phone
(502) 327-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8888 Keystone Xing
Suite 1300
Indianapolis, IN 46240-4609

Mailing address

PO Box 7219
Louisville, KY 40257-0219
Phone (502) 327-9100

Other identifiers 1

IdentifierTypeStateIssuer
15D2045574OtherINCLIA - CERTIFICATE OF WAIVER

Other names 1

  • MD2U The Leader In Medical House Calls Doing business as

National Provider Directory

National Provider Directory

Locations

815 E Market St
Ste 300
New Albany, IN 47150
Phone (812) 677-6809

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1598070740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7219",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570219",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 KEYSTONE XING",
            "address_2": "SUITE 1300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404609",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD2U INDIANA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD2U MANAGEMENT LLC",
        "enumeration_date": "2010-08-12",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "502-327-9100"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA - CERTIFICATE OF WAIVER",
            "identifier": "15D2045574",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD2U The Leader In Medical House Calls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.