NPIMap

Organization Active NPI

Prime Med LLC

  • Urgent Care Clinic/Center
  • Fishers, IN
National Provider Identifier
1861905952
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PRIME MED LLC
Practice address
8962 E 96TH St
Fishers, IN 46037-9648
Phone
(317) 385-8699
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Erika Tollett
Title
Office Manager
Phone
(317) 385-8699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8962 E 96TH St
Fishers, IN 46037-9648

Mailing address

11650 Olio Rd Ste 1000-324
Fishers, IN 46037-7619

National Provider Directory

National Provider Directory

Locations

1601 S Anderson St
Elwood, IN 46036

11650 Olio Rd
Ste 1000324
Fishers, IN 46037

8962 E 96th St
Fishers, IN 46037
Phone (317) 288-9777

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": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1861905952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD STE 1000-324",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 E 96TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379648",
            "telephone_number": "317-385-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "TOLLETT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-385-8699"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.