Medstat

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MEDSTAT

Practice address

1500 Provident Dr
Warsaw, IN 46580-3291

Phone

(952) 653-2528

NPI assigned

Jun 5, 2008

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDSTATAs reported in NPPES

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

Authorized official

Name

Kristy Music

Title

Director Provider Enrollment

Phone

(877) 892-9815

Specialties & licenses 1

Addresses

Tax ID family

Medstat4 organizations share this tax ID, including this one

Part of

Medstat

Other organizations with this tax ID 3

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

• Medstat

  • Urgent Care Clinic/Center
  • Warsaw, IN
  • NPI 1902204076
  NPD tax ID
• Medstat LLC

  • Primary Care Clinic/Center
  • Warsaw, IN
  • NPI 1437689783
  NPD tax ID
• Medstat LLC

  • Non-Pharmacy Dispensing Site
  • Nappanee, IN
  • NPI 1669862405
  NPD tax ID

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1841459880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803291",
            "telephone_number": "952-653-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAT",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M. McGeehan, DO
• Kaleigh McKinney
• Valorie L McMillan, NP
• Elisa Kay McPherson, RDN, CD
• Jennifer Meadway
• Medstat
• Medstat LLC
• Medstat LLC
• Mary Meegan
• Meijer Stores Limited Partnership (Meijer Pharmacy #267)

• Non-Pharmacy Dispensing Site in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Non-Pharmacy Dispensing Site in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.