Active NPI
App of Indiana Ed, PLLC
- Emergency Medicine Physician
- Brentwood, TN
National Provider Identifier
1740822212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- APP OF INDIANA ED, PLLC
- Practice address
- 5121 Maryland Way Ste 300
Brentwood, TN 37027-7516 - Phone
- (629) 203-7320
- Fax
- (629) 216-0568
- NPI assigned
- Oct 16, 2019
- Last updated
- Jan 26, 2023
- 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
- James Grimes
- Title
- Cfo
- Phone
- (855) 246-8607
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
5121 Maryland Way Ste 300
Brentwood, TN 37027-7516
Mailing address
5121 Maryland Way Ste 300
Brentwood, TN 37027-7516
Other practice location 1
2520 E DuPont Rd
Fort Wayne, IN 46825-1675
Phone (260) 416-3000
Other practice location 2
303 S Main St
Bluffton, IN 46714-2503
Phone (260) 824-3210
Other practice location 3
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Other practice location 4
700 Broadway
Fort Wayne, IN 46802-1402
Phone (260) 425-3000
Other practice location 5
3929 E State Blvd
Fort Wayne, IN 46805-4948
Phone (260) 479-3001
Other practice location 6
275 W 12th St
Peru, IN 46970-1638
Phone (765) 472-8000
Other practice location 7
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
Other practice location 8
2101 East DuBois Dr
Warsaw, IN 46580
Phone (574) 267-3200
Other practice location 9
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200
Other practice location 10
1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100
Other practice location 11
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
Other practice location 12
1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (800) 654-9410
Other practice location 13
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300
Other practice location 14
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800
Other practice location 15
1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-5141
Other practice location 16
770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000
Other practice location 17
702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674691200000",
"number": "1740822212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 MARYLAND WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 MARYLAND WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277516",
"telephone_number": "629-203-7320",
"fax_number": "629-216-0568"
}
],
"practiceLocations": [
{
"address_1": "2520 E DuPont Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468251675",
"country_code": "US",
"telephone_number": "260-416-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 S Main St",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "IN",
"postal_code": "467142503",
"country_code": "US",
"telephone_number": "260-824-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-7001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Broadway",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468021402",
"country_code": "US",
"telephone_number": "260-425-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3929 E State Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054948",
"country_code": "US",
"telephone_number": "260-479-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 W 12th St",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IN",
"postal_code": "469701638",
"country_code": "US",
"telephone_number": "765-472-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Joliet St",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "463111705",
"country_code": "US",
"telephone_number": "219-865-2141",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 East DuBois Dr",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "IN",
"postal_code": "46580",
"country_code": "US",
"telephone_number": "574-267-3200",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Superior Ave",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463214037",
"country_code": "US",
"telephone_number": "219-922-4200",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 S Main St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463078481",
"country_code": "US",
"telephone_number": "219-738-2100",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3500 Franciscan Way",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463600021",
"country_code": "US",
"telephone_number": "219-879-8511",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 S Creasy Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479054972",
"country_code": "US",
"telephone_number": "800-654-9410",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5454 Hohman Ave",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "IN",
"postal_code": "463201931",
"country_code": "US",
"telephone_number": "219-932-2300",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1710 Lafayette Rd",
"address_purpose": "LOCATION",
"city": "Crawfordsville",
"state": "IN",
"postal_code": "479331033",
"country_code": "US",
"telephone_number": "765-362-2800",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1104 E Grace St",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479783211",
"country_code": "US",
"telephone_number": "219-866-5141",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 Indian Boundary Rd",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463041519",
"country_code": "US",
"telephone_number": "219-921-2000",
"fax_number": "629-216-0568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "702 Van Buren St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468023697",
"country_code": "US",
"telephone_number": "260-425-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "APP OF INDIANA ED, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-16",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "855-246-8607"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.