Community Hospitals of Indiana Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMMUNITY HOSPITALS OF INDIANA INC

Doing business as

Goens Petrin Wesley

Practice address

11911 N Meridian St
Suite 100
Carmel, IN 46032-6919

Phone

(317) 621-6800

Fax

(317) 621-6808

NPI assigned

Jul 21, 2006

Last updated

Nov 9, 2009By 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

Jeffery Kirkham

Title

Cfo

Phone

(317) 355-5822

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Goens Petrin Wesley Doing business as

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1972524635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 N MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326919",
            "telephone_number": "317-621-6800",
            "fax_number": "317-621-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 N MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326919",
            "telephone_number": "317-621-6800",
            "fax_number": "317-621-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA9968",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325490Q",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goens Petrin Wesley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Maxwell Colver, MD
• Jacqueline D Combellick, MD
• Kristen L. Combes, NP
• Community Hospitals of Indiana Inc (Internal Medicine of Carmel)
• Community Hospitals of Indiana Inc (New Horizon Pediatrics)
• Community Hospitals of Indiana, Inc (Serenity Medical Associates)
• Community Hospitals of Indiana, Inc (MedCheck Carmel)
• Community Imaging Associates, LLC (Community Breast Screening-Carmel)
• Community Imaging Associates, LLC (Community Breast Screening/Xray-Washington Square)
• Community Physicians of Indiana Inc (Community Physician Network)

• Internal Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.