Fishers Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FISHERS URGENT CARE LLC

Doing business as

Fishers Urgnet Care

Practice address

11680 Commercial Drive
Suite 100
Fishers, IN 46038-2975

Phone

(812) 539-2911

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Abdulrazak KedoNPI 1194784603

Title

Medical Director

Phone

(812) 539-2911

Specialties & licenses 1

Addresses

Other names 1

• Fishers Urgnet Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

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

• Pratima Dhakal, FNP

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1619447976
  Medicare reassignment Care Compare group NPD
• Abdulrazak Kedo, MD

  • Pediatrics Physician
  • Rushville, IN
  • NPI 1194784603
  Medicare reassignment NPD Authorized official
• Theresa Kay Menner, NP

  • Nurse Practitioner
  • Avon, IN
  • NPI 1336231133
  Medicare reassignment Care Compare group NPD
• Molly Levy, FNP-C

  • Family Nurse Practitioner
  • Wyoming, MN
  • NPI 1023502697
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1669793568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 COMMERCIAL DRIVE",
            "address_2": "SUITE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 COMMERCIAL DRIVE",
            "address_2": "SUITE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382975",
            "telephone_number": "812-539-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "KEDO",
        "authorized_official_first_name": "ABDULRAZAK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "812-539-2911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishers Urgnet Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fishers Family Vision Center Inc
• Fishers Operator, LLC
• Fishers Oral & Maxillofacial Surgery
• Fishers Pediatric Dentistry
• Fishers Specialty Surgery Center, LLC
• Erica Elizabeth Fisk, M.D.
• Derartu Fite
• Brianna Fleetwood
• Maningbe Fofana
• Todd R Fogelsong, DO

• Urgent Care Clinic/Center in Fishers, IN
• Providers in Fishers, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.