CARECONNECTMD MEDICAL GROUP INDIANA PC (NPI# 1528666922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528666922 |
| Entity Type | Organization |
| Organization Name | CARECONNECTMD MEDICAL GROUP INDIANA PC |
| 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 | 6572025944 |
| Mailing Telephone | 8887899585 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | DR. GEORGE EDWARD FIELDS III (OWNER) |
| Authorized Official Telephone | 7145524123 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
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 |
| 1184263295 | Careconnectmd Indiana P.C. | Clinic/Center | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2020-01-06 |
| 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 | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770958241 | Repucare Onsite | Clinic/Center | 604 E Legrande Ave, Indianapolis, IN 46203-3907 | 2015-12-09 |
| 1093066896 | Repucare Onsite LLC | Clinic/Center | 9245 N Meridian St, Suite 305, Indianapolis, IN 46260-1836 | 2012-09-20 |
| 1508971847 | Iumg Corporate Health & Wellness, LLC | Clinic/Center | 250 University Blvd, Indianapolis, IN 46202-5137 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714500 | Procare Healthspot, LLC | Clinic/Center | 4949 Healthy Way, Evansville, IN 47715-1180 | 2018-09-21 |
| 1184105496 | Hendricks Community Hospital | Clinic/Center | 11 Motif Blvd, Brownsburg, IN 46112-1017 | 2018-08-24 |
| 1114405156 | Hendricks Community Hospital | Clinic/Center | 1100 Southfield Dr Ste 1312, Plainfield, IN 46168-4499 | 2018-08-01 |
| 1508198409 | Hendricks Community Hospital | Clinic/Center | 1411 S Green St Ste 220, Brownsburg, IN 46112-2048 | 2010-02-03 |
| 1528235140 | Elkhart General Hospital Inc | Clinic/Center | 1028 E Waterford St, Wakarusa, IN 46573-9305 | 2008-05-13 |
| 1346881612 | Procare Healthspot, LLC | Clinic/Center | 1016 E Columbia St, Evansville, IN 47711-5270 | 2019-10-08 |
| 1639653991 | Procare Healthspot, LLC | Clinic/Center | 8788 Ruffian Ln, Newburgh, IN 47630-3405 | 2018-09-21 |
| 1245719020 | Procare Healthspot, LLC | Clinic/Center | 1 N Main St, Evansville, IN 47711-5446 | 2018-08-13 |
| 1821576737 | Hendricks Community Hospital | Clinic/Center | 3720 Hornaday Rd, Brownsburg, IN 46112-1958 | 2018-08-02 |
| 1568940500 | Hendricks Community Hospital | Clinic/Center | 1100 Southfield Dr Ste 1312, Plainfield, IN 46168-4499 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on CARECONNECTMD MEDICAL GROUP INDIANA PC.
| 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.