Active NPI
Indiana Heart Physicians, Inc.
- Cardiovascular Disease Physician
- Mooresville, IN
National Provider Identifier
1700093838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- INDIANA HEART PHYSICIANS, INC.
- Practice address
- 1201 Hadley Rd
Suite 210
Mooresville, IN 46158-1737 - Phone
- (317) 893-1900
- Fax
- (317) 893-1901
- NPI assigned
- May 17, 2007
- Last updated
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Benjamin
- Title
- Coo
- Phone
- (317) 893-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
1201 Hadley Rd
Suite 210
Mooresville, IN 46158-1737
Mailing address
PO Box 710
Beech Grove, IN 46107-0710
Phone (317) 893-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100073370A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Indiana Heart Physicians Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Shelbyville, IN
- NPI 1780891804
-
- Cardiovascular Disease Physician
- Martinsville, IN
- NPI 1548477664
Locations
1201 Hadley Rd
Ste 210
Mooresville, IN 46158
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Health Nurse Practitioner
- Shelbyville, IN
- NPI 1730391483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1700093838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461070710",
"telephone_number": "317-893-1880",
"fax_number": "317-893-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HADLEY RD",
"address_2": "SUITE 210",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581737",
"telephone_number": "317-893-1900",
"fax_number": "317-893-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA HEART PHYSICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "317-893-1900"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100073370A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.