MR. EUGENE STANLEY JUSTUS (NPI# 1467459172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467459172 |
| Entity Type | Individual |
| Full Name | MR. EUGENE STANLEY JUSTUS |
| Credential | D.O. |
| Practice Address |
533 E County Line Rd Ste 101 Greenwood IN 46143-1074 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3179579050 |
| Practice Fax Number | 3179579952 |
| Mailing Telephone | 3176217584 |
| Mailing Fax Number | 3179572705 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02001103B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS BLUE SHIELD | 000000353149 | 01 |
| IN | 200051160 | 05 | |
| IN | RAIL ROAD PTAN | P01424410 | 01 |
| Street Address |
533 E COUNTY LINE RD STE 101 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865318 | Taylor Bachert | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1871118836 | Jordan Phelps | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1205451283 | Taylor Daggett | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1710502794 | William Long | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1689237711 | Jacob Holtz | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2019-04-15 |
| 1720641863 | Kyle Morlan | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2019-04-15 |
| 1366948507 | Skyler Gick | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143 | 2018-04-05 |
| 1083110225 | Nicole Schmitt | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143 | 2018-04-05 |
| 1417453655 | Alexandria Sporleder | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143 | 2018-04-05 |
| 1972009116 | Colten Smouse | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143 | 2018-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862473 | Kristina Mckissick | Family Medicine | 805 Montague Ave, Greenwood, SC 29649-1471 | 2020-02-05 |
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1689066060 | Richard Glen Huber | Family Medicine | 31 N Restin Rd, Greenwood, IN 46142-8583 | 2015-02-23 |
| 1679912406 | Michael J. Mooney | Family Medicine | 965 Emerson Pkwy Ste J, Greenwood, IN 46143 | 2013-06-14 |
| 1114362639 | Sarah Ann Beeson | Family Medicine | 1000 Us Highway 31 S, Greenwood, IN 46143-2407 | 2013-05-10 |
| 1013350198 | Elise Rose Laroche | Family Medicine | 747 E County Line Rd Ste D, Greenwood, IN 46143-1082 | 2013-04-09 |
| 1548506868 | Community Health Network Inc | Family Medicine | 615 W Smith Valley Rd, Greenwood, IN 46142-3048 | 2012-12-13 |
| 1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
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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.