INDIANAPOLIS VAMC (NPI# 1235625088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235625088 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS VAMC |
| Other Organization Name | SHELBYVILLE VA CLINIC |
| Practice Address |
30 W Rampart St Shelbyville IN 46176-8846 |
| Mailing Address |
Po Box 5303 Madison WI 53705-0303 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SHELBYVILLE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1831140417 | Indianapolis Vamc | Clinic/Center | 2100 S Liberty Dr, Bloomington, IN 47403-5147 | 2006-05-16 |
| 1982662789 | Indianapolis Vamc | Department of Veterans Affairs (VA) Pharmacy | 1481 West 10th Street, Indianapolis, IN 46202 | 2006-05-02 |
| 1730682352 | Indianapolis Vamc | Clinic/Center | 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 | 2018-03-09 |
| Street Address |
30 W RAMPART ST |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091935 | James L Peters | Family Medicine | 30 W Rampart St, Ste 210, Shelbyville, IN 46176-8897 | 2005-05-23 |
| 1740660547 | Alicia Ray-wolfe | Nurse Practitioner | 30 W Rampart St, Suite 210, Shelbyville, IN 46176-8846 | 2015-06-05 |
| 1831589977 | Suzanne Fox | Nurse Practitioner | 30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 | 2015-01-28 |
| 1922416536 | Anu George | Nurse Practitioner | 30 W Rampart St, Suite 250, Shelbyville, IN 46176-8846 | 2014-07-27 |
| 1609174879 | Major Medical Group LLC | Family Medicine | 30 W Rampart St, Suite 210, Shelbyville, IN 46176-8846 | 2011-03-11 |
| 1891923652 | Advanced Surgical Associates LLC | Surgery | 30 W Rampart St, Ste 230, Shelbyville, IN 46176-8846 | 2009-06-30 |
| 1770746109 | Kevin James Lemme | Orthopaedic Surgery | 30 W Rampart St, Suite 160, Shelbyville, IN 46176-8846 | 2008-07-07 |
| 1497914287 | Sean Martin Garringer | Orthopaedic Surgery | 30 W Rampart St, Suite 160, Shelbyville, IN 46176-8846 | 2008-06-05 |
| 1972718021 | Bartley Orthopedics PC | Orthopaedic Surgery | 30 W Rampart St, Ste 120, Shelbyville, IN 46176-8846 | 2007-05-11 |
| 1952466435 | Evan Ray Eckart | Pediatrics | 30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
Please comment or provide details below to improve the information on INDIANAPOLIS VAMC.
| 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.