Organization Active NPI

Indiana University School of Medicine

  • General Acute Care Hospital
  • Indianapolis, IN
National Provider Identifier
1659716017
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Practice address
1520 N Senate Ave
Indianapolis, IN 46202-2213
Phone
(859) 559-2341
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Lora A Goudreau
Title
Residency Coordinator
Phone
(317) 962-5423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1520 N Senate Ave
Indianapolis, IN 46202-2213

Mailing address

1655 Lexington Rd
Danville, KY 40422-9795
Phone (859) 559-2341

Other names 1

  • IU/Methodist Family Medicine Residency Other name

National Provider Directory

National Provider Directory

Locations

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1659716017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 LEXINGTON RD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229795",
            "telephone_number": "859-559-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022213",
            "telephone_number": "859-559-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "GOUDREAU",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RESIDENCY COORDINATOR",
        "authorized_official_telephone_number": "317-962-5423"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU/Methodist Family Medicine Residency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 30, 2013; 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.