NPIMap

Organization Active NPI

Ourhealth Physician Group, LLC

  • Primary Care Clinic/Center
  • Culver, IN
National Provider Identifier
1891037164
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OURHEALTH PHYSICIAN GROUP, LLC
Practice address
121 N Terrace Dr
Culver, IN 46511-1222
Phone
(574) 842-8882
NPI assigned
Mar 25, 2013
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Jeffrey M Wells, M.D.
Title
President
Phone
(317) 522-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

121 N Terrace Dr
Culver, IN 46511-1222

Mailing address

4151 E 96TH St
Indianapolis, IN 46240-1442
Phone (317) 522-0823

Other names 1

  • OurClinic @ Culver Other name

National Provider Directory

National Provider Directory
Tax ID family
Ourhealth Physician Group LLC69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Locations

121 N Terrace Dr
Culver, IN 46511
Phone (574) 842-8882

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1891037164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401442",
            "telephone_number": "317-522-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N TERRACE DR",
            "city": "CULVER",
            "state": "IN",
            "postal_code": "465111222",
            "telephone_number": "574-842-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-522-0823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OurClinic @ Culver",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OurClinic @ Culver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Culver, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.