NPIMap

Organization Active NPI

Community Health Network

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1881276004
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HEALTH NETWORK
Practice address
8890 E 116TH St Ste 130
Fishers, IN 46038-2856
Phone
(317) 621-1663
Fax
(317) 621-1668
NPI assigned
Apr 27, 2021
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Jeffery Kirkham, MD
Title
Authorized Official
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8890 E 116TH St Ste 130
Fishers, IN 46038-2856

Mailing address

8890 E 116TH St Ste 130
Fishers, IN 46038-2856
Phone (317) 621-1663

Other names 1

  • Fishers Near Site Other name

National Provider Directory

National Provider Directory
Tax ID family
Catherine Cooper CNP37 organizations share this tax ID, including this one
Part of
Catherine Cooper CNP

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1881276004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 E 116TH ST STE 130",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382856",
            "telephone_number": "317-621-1663",
            "fax_number": "317-621-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 E 116TH ST STE 130",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382856",
            "telephone_number": "317-621-1663",
            "fax_number": "317-621-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH NETWORK",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "317-355-5822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fishers Near Site",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 27, 2021; 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.