NPIMap

Organization Active NPI

Carrie B. Boyd Healthcare Center

  • Health Service Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1609323708
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
02003708A Issued in IN
Legal business name
CARRIE B. BOYD HEALTHCARE CENTER
Practice address
5555 N Tacoma Ave
12
Indianapolis, IN 46220-3512
Phone
(317) 501-0210
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Carla V Cork, D.O., M.A.T.NPI 1194915926
Title
Physician/Owner
Phone
(317) 501-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 02003708A IN Primary

Addresses

Primary practice location

5555 N Tacoma Ave
12
Indianapolis, IN 46220-3512

Mailing address

PO Box 7140
Fishers, IN 46038-7140
Phone (317) 501-0210

National Provider Directory

National Provider Directory

Locations

5555 N Tacoma Ave
Ste 12
Indianapolis, IN 46220
Phone (317) 501-0210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12519/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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1609323708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7140",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460387140",
            "telephone_number": "317-501-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE",
            "address_2": "12",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203512",
            "telephone_number": "317-501-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE B. BOYD HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "CORK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "317-501-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., M.A.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IN",
            "license": "02003708A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 6, 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.