CARECONNECTMD INDIANA P.C. (NPI# 1184263295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184263295 |
| Entity Type | Organization |
| Organization Name | CARECONNECTMD INDIANA P.C. |
| Practice Address |
9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 |
| Mailing Address |
16162 Beach Blvd Ste 100 Huntington Beach CA 92647-3828 |
| Practice Telephone | 8887899585 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Authorized Official Name | UJJWALA SHAH DHEERIYA (CEO) |
| Authorized Official Telephone | 8887899585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
9465 COUNSELORS ROW STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 1780283879 | Cadence Psychology Studio | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-20 |
| 1528666922 | Careconnectmd Medical Group Indiana PC | Clinic/Center | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-10-16 |
| 1306497391 | Popcorn LLC | Private Vehicle | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-09-22 |
| 1922653419 | Key Autism Services In, LLC | Community/Behavioral Health | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-08-02 |
| 1295293389 | Patience Compassionate Care LLC | Counselor | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-03-07 |
| 1619441318 | Home Care On Demand LLC | Chore Provider | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2019-01-15 |
| 1497221709 | Patience Pinky Carter | Counselor | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-10-15 |
| 1629556535 | Jessicah Dawn Walker Herche | Psychologist | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932677291 | Pure Life Clinic LLC | Clinic/Center | 4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645 | 2018-11-05 |
| 1346634946 | Healthworks Med Group of Indiana P C | Clinic/Center | 6620 Network Way, Indianapolis, IN 46278-1686 | 2015-03-23 |
| 1073156220 | Monarch Medical Center LLC | Clinic/Center | 9347 Pendleton Pike, Indianapolis, IN 46236-2768 | 2019-10-21 |
| 1518517523 | Jessica Goiffon PC | Clinic/Center | 123 Main St, Indianapolis, IN 68432 | 2019-09-12 |
| 1114323151 | Imsg Inc. | Clinic/Center | 3266 N Meridian St, Suite 708, Indianapolis, IN 46208-5846 | 2014-11-18 |
| 1063818771 | Healthworks Med Group of Indiana P C | Clinic/Center | 9115 Hague Rd, Indianapolis, IN 46256-1025 | 2014-11-06 |
| 1669770178 | Adult and Child Center | Clinic/Center | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2011-03-08 |
| 1912082314 | Leo Plouffe Jr. | Clinic/Center | Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285-0001 | 2006-10-25 |
| 1831134576 | Integra Health Center, LLC | Clinic/Center | 8150 Oaklandon Rd, Suite 111, Indianapolis, IN 46236-9525 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1659984870 | Central Indiana Vascular Care, LLC. | Clinic/Center | 853 N Emerson Ave Ste F, Greenwood, IN 46143-5676 | 2020-08-27 |
| 1518528579 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 390 Erie Ave Ste A, Connersville, IN 47331-3177 | 2019-06-21 |
| 1417479247 | Crown Radiology Associates | Clinic/Center | 5363 Commerce Blvd Ste A, Crown Point, IN 46307-5325 | 2017-07-13 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1952626715 | K & D Medical Services | Clinic/Center | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2010-04-05 |
| 1407179559 | Forensic Nursing Specialties, Inc | Clinic/Center | 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 | 2010-03-03 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1093954950 | Community Health Partners of South Bend, Inc. | Clinic/Center | 1010 N Bendix Dr, South Bend, IN 46628-1925 | 2009-02-16 |
| 1235303165 | Elkhart Clinic, LLC | Clinic/Center | 410 Park Pl, Suite B, Mishawaka, IN 46545-3557 | 2008-04-22 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on CARECONNECTMD INDIANA P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.