Organization Active NPI

Cardinal Health Partners, LLC

  • Internal Medicine Physician
  • Muncie, IN
National Provider Identifier
1891726683
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARDINAL HEALTH PARTNERS, LLC
Practice address
215 S Hutchinson Ave
Muncie, IN 47303-4774
Phone
(765) 281-6920
Fax
(765) 284-6151
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Jan Vangets
Title
Coo Physician Network Services
Phone
(765) 751-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

215 S Hutchinson Ave
Muncie, IN 47303-4774

Mailing address

215 S Hutchinson Ave
Muncie, IN 47303-4774
Phone (765) 281-6920

Other identifiers 1

IdentifierTypeStateIssuer
100384610DMedicaidIN

Other names 1

  • Muncie Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Partners LL9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1891726683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HUTCHINSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034774",
            "telephone_number": "765-281-6920",
            "fax_number": "765-284-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HUTCHINSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034774",
            "telephone_number": "765-281-6920",
            "fax_number": "765-284-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VANGETS",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COO PHYSICIAN NETWORK SERVICES",
        "authorized_official_telephone_number": "765-751-3311"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100384610D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muncie Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.