NPIMap

Organization Active NPI

Cardinal Health Partners, LLC

Doing business as CHS Pediatrics

  • Pediatrics Physician
  • Muncie, IN
National Provider Identifier
1659302883
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CARDINAL HEALTH PARTNERS, LLC
Doing business as
CHS Pediatrics
Practice address
205 N Tillotson Ave
Muncie, IN 47304-3900
Phone
(765) 288-1995
Fax
(765) 281-9114
NPI assigned
Jul 5, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jan Vangets
Title
Coo Physician Network Services
Phone
(765) 751-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

205 N Tillotson Ave
Muncie, IN 47304-3900

Mailing address

205 N Tillotson Ave
Muncie, IN 47304-3900
Phone (765) 288-1995

Other identifiers 1

IdentifierTypeStateIssuer
200278800AMedicaidIN

Other names 1

  • CHS Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Partners LL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1659302883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-288-1995",
            "fax_number": "765-281-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043900",
            "telephone_number": "765-288-1995",
            "fax_number": "765-281-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VANGETS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COO PHYSICIAN NETWORK SERVICES",
        "authorized_official_telephone_number": "765-751-3311"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200278800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHS Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.