Integrative Health Specialist of Indiana PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTEGRATIVE HEALTH SPECIALIST OF INDIANA PC

Practice address

9333 N Meridian St
Ste 202
Indianapolis, IN 46260-1872

Phone

(317) 580-9333

Fax

(317) 818-8933

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Kim Grider, BUSINESS OFFICE

Title

Business Administrator

Phone

(317) 781-3604

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 12

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

• Sarah E. Crook, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1730148768
  Medicare reassignment Care Compare group NPD
• Macy Jane Louthain

  • Family Nurse Practitioner
  • Brownsburg, IN
  • NPI 1295419281
  Medicare reassignment Care Compare group NPD
• Rhonda J Marsh, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1629048715
  Medicare reassignment Care Compare group NPD
• Alina Montis Lukaszewicz, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1336022482
  Medicare reassignment Care Compare group NPD
• Casi Dawn Norman, FNP

  • Family Nurse Practitioner
  • Brownsburg, IN
  • NPI 1205369121
  Medicare reassignment NPD
• Deanna L Kirk, NP

  • Family Nurse Practitioner
  • Carmel, IN
  • NPI 1225268519
  NPD
• Annette L Dewitt, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1255580635
  NPD (past)
• Robin R Eldib, NP

  • Family Nurse Practitioner
  • Carmel, IN
  • NPI 1619947710
  NPD (past)
• Nichole R Ingersoll, NP

  • Family Nurse Practitioner
  • Zionsville, IN
  • NPI 1558331652
  NPD (past)
• Dominique D Leveque, CPNP, FNPC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1285785584
  NPD (past)
• Douglas B Smith, M.D.

  • Rheumatology Physician
  • Indianapolis, IN
  • NPI 1407832025
  NPD (past)
• Linda Jane Spencer, FNP

  • Family Nurse Practitioner
  • Brownsburg, IN
  • NPI 1053339739
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1689629511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST",
            "address_2": "STE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601872",
            "telephone_number": "317-580-9333",
            "fax_number": "317-818-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST",
            "address_2": "STE 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601872",
            "telephone_number": "317-580-9333",
            "fax_number": "317-818-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH SPECIALIST OF INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "317-781-3604",
        "authorized_official_credential": "BUSINESS OFFICE"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1629048715",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619947710",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000243460",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558331652",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.