FIRSTLINES, TJS, LLC (NPI# 1447866462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447866462 |
Entity Type | Organization |
Organization Name | FIRSTLINES, TJS, LLC |
Practice Address |
11725 Illinois St Ste 550 Carmel IN 46032-3009 |
Practice Telephone | 3178144111 |
Practice Fax Number | 3178142923 |
Mailing Telephone | 3178144111 |
Mailing Fax Number | 3178142923 |
Enumeration Date | 2020-09-16 |
Last Update Date | 2020-09-16 |
Authorized Official Name | DR. TIMOITHY JAMES STORY (PHYSICIAN) |
Authorized Official Telephone | 3178144111 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
11725 ILLINOIS ST STE 550 |
City | CARMEL |
State | IN |
Zip Code | 46032-3009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1467813204 | Coresight Neuro-ophthalmology LLC | Clinic/Center | 13400 N Meridian St, Suite 283, Carmel, IN 46032-7102 | 2016-03-07 |
1376770883 | Putnam Obstetrics & Gynecology P.C. | Clinic/Center | 660 Stoneleigh Ave, Carmel, NY 10512-2466 | 2009-06-11 |
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1326654070 | Providence Medical Associates LLC | Clinic/Center | 1935 N Capitol Ave Ste 107, Indianapolis, IN 46202-6403 | 2020-09-18 |
1902429251 | Telacare Health Solutions, LLC | Clinic/Center | 11650 Olio Rd Ste 1000-172, Fishers, IN 46037-7619 | 2020-05-21 |
1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
1285164509 | Better Quality of Life Care Md, PC | Clinic/Center | 8334 Beech Ave, Munster, IN 46321-1440 | 2017-06-19 |
1639622236 | Fordem Health, LLC | Clinic/Center | 1313 Park Dr, Munster, IN 46321-2634 | 2016-07-31 |
1447619747 | Sanford Dermatology | Clinic/Center | 400 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3205 | 2016-02-15 |
1306222757 | Midwest Wellness LLC | Clinic/Center | 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 | 2015-08-08 |
1053657775 | Earthen Vessels Nurse Midwifery LLC | Clinic/Center | 251 Airport North Office Park, Fort Wayne, IN 46825-6702 | 2012-12-27 |
1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
1093953234 | Wabash Valley Infectious Diseases Clinic LLC | Clinic/Center | 2112 S 3rd St, Terre Haute, IN 47802-3045 | 2009-01-27 |
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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.