Little Creek Family Healthcare Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LITTLE CREEK FAMILY HEALTHCARE CENTER LLC

Practice address

6001 N US Highway 31
Suite 10
New Whiteland, IN 46184-9767

Phone

(317) 535-3003

Fax

(317) 535-6004

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dena K Barger, NP

Title

President

Phone

(317) 535-3003

Specialties & licenses 1

Addresses

Locations

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.

• John Ralph Collip, M.D.

  • General Practice Physician
  • Greenfield, IN
  • NPI 1710097571
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720115231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 N US HIGHWAY 31",
            "address_2": "SUITE 10",
            "city": "NEW WHITELAND",
            "state": "IN",
            "postal_code": "461849767",
            "telephone_number": "317-535-3003",
            "fax_number": "317-535-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 N US HIGHWAY 31",
            "address_2": "SUITE 10",
            "city": "NEW WHITELAND",
            "state": "IN",
            "postal_code": "461849767",
            "telephone_number": "317-535-3003",
            "fax_number": "317-535-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE CREEK FAMILY HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-535-3003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jean Cranny, LCSW
• Deborah Dougherty, NP
• Extended Family Adult Day Services Inc
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• Mary Jane Hannan
• Diana Lesko Moorman, DDS
• National Mentor Healthcare, LLC (Indiana Mentor Adult Foster Care)
• Parkview Dental
• Vedansibahen Patel
• Sharee Nycole Pettiford, OTR/L

• Family Medicine Physician in New Whiteland, IN
• Providers in New Whiteland, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.