Hendricks County Hospital

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HENDRICKS COUNTY HOSPITAL

Doing business as

Hendricks Regional Health Immediate Care

Practice address

1100 Southfield Dr
Ste. 1140
Plainfield, IN 46168-4498

Phone

(317) 839-7200

Fax

(317) 837-7926

NPI assigned

Feb 20, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HENDRICKS REGIONAL HEALTHAs reported in NPPES

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

Authorized official

Name

Marijane Smallwood, RN, MSN, NE-BC

Title

Director

Phone

(317) 272-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hendricks Regional Health Immediate Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Indiana Adult Pediatr

Practitioners 5

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.

• Kelli M Burress, NP

  • Family Nurse Practitioner
  • Bainbridge, IN
  • NPI 1912203894
  NPD
• Nicole Amber Kestufskie, PA

  • Physician Assistant
  • Avon, IN
  • NPI 1316424344
  NPD
• Philip Pifer, PA-C

  • Physician Assistant
  • Avon, IN
  • NPI 1871003202
  NPD
• Cyndi A Speelman, MD

  • Family Medicine Physician
  • Avon, IN
  • NPI 1871597542
  NPD
• David M Stopperich, M.D.

  • Family Medicine Physician
  • Lizton, IN
  • NPI 1265410906
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861536930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "STE. 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "STE. 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDRICKS REGIONAL HEALTH",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "MARIJANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-272-7500",
        "authorized_official_credential": "RN, MSN, NE-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100442010B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hendricks Regional Health Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hendricks County Hospital (Hendricks Rheumatology)
• Hendricks County Hospital (Plainfield Family Medicine)
• Hendricks County Hospital (Indiana Adult & Pediatric Medicine)
• Hendricks County Hospital (Plainfield Health Care Center)
• Hendricks County Hospital (Hendricks Regional Health Medical Group)
• Hendricks County Psychotherapy PSC (Hendricks Therapy)
• Hendricks Regional Health Occupational Medicine (Hendricks Occupational Medicine)
• Amanda Henning, RBT
• Karli Herbert, CCC-SLP
• Heritage Family Dental, LLC (Heritage Family Dental)

• Urgent Care Clinic/Center in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.