American Health Network of Indiana, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

AMERICAN HEALTH NETWORK OF INDIANA, LLC

Practice address

1111 Ronald Reagan Pkwy
Suite 1600
Avon, IN 46123-7085

Phone

(317) 329-7430

Fax

(317) 329-7485

NPI assigned

Sep 11, 2006

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

AMERICAN HEALTH NETWORK OF INDIANA, LLCAs reported in NPPES

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

Authorized official

Name

Ben H Park, MD

Title

President and Ceo

Phone

(317) 580-6307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

American Health Network of Indiana

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1679677702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546601",
            "telephone_number": "317-329-7430",
            "fax_number": "317-329-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RONALD REAGAN PKWY",
            "address_2": "SUITE 1600",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237085",
            "telephone_number": "317-329-7430",
            "fax_number": "317-329-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
        "enumeration_date": "2006-09-11",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "317-580-6307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC
• Amy Levy Mental Health Services NP LLC
• Anchor Pointe

• Hematology & Oncology Physician in Avon, IN
• Providers in Avon, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.