Excell for Life Family Care and Pediatrics Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01036098A Issued in IN

Legal business name

EXCELL FOR LIFE FAMILY CARE AND PEDIATRICS INC.

Practice address

1329 W 96TH St
Suite 1
Indianapolis, IN 46260-1190

Phone

(317) 660-0888

Fax

(317) 660-0880

NPI assigned

Jun 27, 2011

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa A Miller, MDNPI 1669486148

Title

Owner

Phone

(317) 660-0888

Specialties & licenses 1

Addresses

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23703/brand/1/csg/1/fhir/r4

Practitioners 11

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.

• Lisa Ann Miller, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1669486148
  Medicare reassignment Authorized official
• Nathan J Bleeke, DO

  • Family Medicine Physician
  • Greenwood, IN
  • NPI 1306342647
  Medicare reassignment NPD
• Megan R Landwerlen, M.D.

  • Pediatrics Physician
  • Fishers, IN
  • NPI 1851378921
  Medicare reassignment NPD
• Nancy Thong, NP

  • Family Nurse Practitioner
  • Westfield, IN
  • NPI 1639567597
  Medicare reassignment NPD
• Samantha Leigh Vanderlaan

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1932720810
  Medicare reassignment NPD
• Tara R Fox, CPNP

  • Pediatric Nurse Practitioner
  • Alexandria, VA
  • NPI 1477853950

  IN

  Medicare reassignment NPD
• Abigail Hendrickson, PA

  • Medical Physician Assistant
  • Indianapolis, IN
  • NPI 1518342757
  Medicare reassignment
• Amanda Miller, PA-C

  • Medical Physician Assistant
  • Indianapolis, IN
  • NPI 1710329412
  Medicare reassignment
• Allison Chesser Newsom, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1679733117
  Medicare reassignment
• Amy A Nicley, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1639248214
  Medicare reassignment
• Nicoletta Marie Wilhoite, N.P.

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1942543368
  Medicare reassignment

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1902192016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W 96TH ST",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601190",
            "telephone_number": "317-660-0888",
            "fax_number": "317-660-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W 96TH ST",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601190",
            "telephone_number": "317-660-0888",
            "fax_number": "317-660-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELL FOR LIFE FAMILY CARE AND PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-660-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ewing
• Crystal R Ewing
• John W. Ewing, LCSW
• Tania N Ewing
• Excel Hearts Home Care LLC
• Excell Sports Chiropractic & Rehab, LLC
• Excellence in Rehabilitation Inc (Helping Hands Work and Wellness)
• Excellent Home Care LLC
• Excellent Life Home Services, LLC
• Exceptional Home Care LLC

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.