Organization Active NPI

Everest Center for Mens Health PLLC

  • Internal Medicine Physician
  • Carmel, IN
National Provider Identifier
1609241306
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EVEREST CENTER FOR MENS HEALTH PLLC
Practice address
13528 Brentwood LN
Carmel, IN 46033-9488
Phone
(317) 652-7732
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Aaron Davis, M.D
Title
Ceo
Phone
(317) 652-7732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13528 Brentwood LN
Carmel, IN 46033-9488

Mailing address

611 Bielenberg Rd
Ste #2
Woodbury, MN 55125

Other names 1

  • EveresT Mens Health Doing business as

National Provider Directory

National Provider Directory

Locations

337 Bluff Rd
Carver, MN 55315

611 Bielenberg Dr
Ste 2
Woodbury, MN 55125
Phone (612) 315-0566

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12792/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1609241306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG RD",
            "address_2": "STE #2",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13528 BRENTWOOD LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339488",
            "telephone_number": "317-652-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST CENTER FOR MENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-652-7732",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EveresT Mens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.