NPIMap

Organization Active NPI

Indiana University Health Ball Memorial Hospital

  • Acute Care Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1770864985
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71003655A Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL
Practice address
5000 W Prairiewood Dr
Muncie, IN 47304-3485
Phone
(765) 284-3072
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Harold Berfiend
Title
Chief Operating Officer
Phone
(765) 751-2795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 71003655A IN Primary

Addresses

Primary practice location

5000 W Prairiewood Dr
Muncie, IN 47304-3485

Mailing address

5000 W Prairiewood Dr
Muncie, IN 47304-3485
Phone (765) 284-3072

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Partner16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

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.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1770864985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W PRAIRIEWOOD DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043485",
            "telephone_number": "765-284-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W PRAIRIEWOOD DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043485",
            "telephone_number": "765-284-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "BERFIEND",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "765-751-2795"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71003655A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.