NPIMap

Organization Active NPI

Planned Parenthood of Indiana Avon

  • Non-Surgical Family Planning Clinic/Center
  • Avon, IN
National Provider Identifier
1932456928
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
01041899A Issued in IN
Legal business name
PLANNED PARENTHOOD OF INDIANA AVON
Practice address
8102 Kingston St.
Suite 100
Avon, IN 46123-6909
Phone
(317) 272-2042
Fax
(317) 272-0601
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF INDIANA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Suzannah Wilson Overholt
Title
VP, Finance & Administration
Phone
(317) 637-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 01041899A IN Primary

Addresses

Primary practice location

8102 Kingston St.
Suite 100
Avon, IN 46123-6909

Mailing address

200 S. Meridian St.
Suite 400
Indianapolis, IN 46225
Phone (317) 637-4343

Other identifiers 2

IdentifierTypeStateIssuer
100326600MedicaidIN
200295610MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Indiana Columbus30 organizations share this tax ID, including this one
Part of
Planned Parenthood of Indiana Columbus

Other organizations with this tax ID 29

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

View all 29

Locations

8102 Kingston St
Ste 100
Avon, IN 46123
Phone (317) 272-2042

Practitioners & affiliated clinicians

Practitioners 2

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": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1932456928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. MERIDIAN ST.",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46225",
            "telephone_number": "317-637-4343",
            "fax_number": "317-637-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 KINGSTON ST.",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236909",
            "telephone_number": "317-272-2042",
            "fax_number": "317-272-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF INDIANA AVON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF INDIANA, INC.",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "OVERHOLT",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "VP, FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "317-637-4166"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "IN",
            "license": "01041899A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100326600",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200295610",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.