Ourhealth Professional Physician Group, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004183A Issued in IN

Legal business name

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC

Practice address

1850 Riverfork Dr
C/O Bendix Health Center
Huntington, IN 46750-9004

Phone

(260) 200-1310

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey Michael Wells

Title

Ceo

Phone

(317) 522-0823

Specialties & licenses 2

Addresses

Other names 1

• Bendix Health Center - Huntington Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

MH Nursing of Indiana PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• MH Nursing of Indiana, PC

  • Nurse Practitioner
  • Crawfordsville, IN
  • NPI 1093370454
  NPD tax ID
• MH Nursing of Indiana, PC

  • General Practice Physician
  • Crown Point, IN
  • NPI 1194359240
  NPD tax ID

Locations

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1962837393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 RIVERFORK DR",
            "address_2": "C/O BENDIX HEALTH CENTER",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467509004",
            "telephone_number": "260-200-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-522-0823"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004183A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bendix Health Center - Huntington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Amy Owens, PT
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• Pathfinder Services Inc
• Pathfinder Services Inc

• Family Nurse Practitioner in Huntington, IN
• Providers in Huntington, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.