American Health Network of Indiana, LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Noblesville, IN
NPI 1992721088 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1992721088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- AMERICAN HEALTH NETWORK OF INDIANA, LLC
- Practice address
- 18051 River Ave
Suite 200
Noblesville, IN 46062-7091 - Phone
- (317) 773-0002
- Fax
- (317) 776-6095
- NPI assigned
- Jul 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AMERICAN HEALTH NETWORK OF INDIANA, LLC
Authorized official
- Name
- Ben H Park, M.D.
- Title
- President and Ceo
- Phone
- (317) 580-6307
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000691 | IN | Part B Supplier - Clinic/Group Practice | 9830093533 |
Receives reassigned benefits from 230 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- American Health Network LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
18051 River Ave
Suite 200
Noblesville, IN 46062-7091
Mailing address
18051 River Ave
Suite 200
Noblesville, IN 46062-7091
Phone (317) 773-0002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0828280001 | Other | IN | DMERC |
Other providers in Noblesville, IN
- Amana Personal Services Agency LLC
- Mark J Ambre
- American Health Network of Indiana, LLC
- American Health Network of Indiana, LLC
- American Health Network of Indiana, LLC
- American Oncology Partners, P.a.
- Americare Ambulance Service of Indiana LLC
- Americare Ambulance Service of Indianapolis LLC
- Amy D Walden PC
- Carol Ann Analco
All providers in Noblesville, IN · Foot & Ankle Surgery Podiatrist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.