WELLCARE FAMILY MEDICINE PC (NPI# 1558444885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558444885 |
| Entity Type | Organization |
| Organization Name | WELLCARE FAMILY MEDICINE PC |
| Other Organization Name | WELLCARE FAMILY MEDICINE PC |
| Practice Address |
9757 Westpoint Dr Indianapolis IN 46256-3341 |
| Practice Telephone | 3175772779 |
| Practice Fax Number | 3175772546 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST) |
| Authorized Official Telephone | 8006540889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1535559 | 01 |
| Other Name | Type Code |
|---|---|
| WELLCARE FAMILY MEDICINE PC | Doing Business As Name - Organization |
| Street Address |
9757 WESTPOINT DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018965 | Leeanne M. Nazer | Family Medicine | 9757 Westpoint Dr, Ste 100, Indianapolis, IN 46256-3329 | 2005-10-24 |
| 1689974933 | Kristin Busha | Physical Therapist | 9757 Westpoint Dr, Suite 200, Indianapolis, IN 46256-3341 | 2010-11-02 |
| 1225266091 | Erin Nehus Vergara | Physical Therapist | 9757 Westpoint Dr, Suite 200, Indianapolis, IN 46256-3341 | 2009-06-30 |
| 1275651119 | Julie A Ciaccia | Specialist | 9757 Westpoint Dr, Ste 100, Indianapolis, IN 46256-3341 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255364758 | Access Therapies At Home | Non-Pharmacy Dispensing Site | 5980 W 71st St Ste 201 A, Indianapolis, IN 46278-1785 | 2006-07-08 |
| 1720405616 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 9002 N Meridian St, Suite 214, Indianapolis, IN 46260-5381 | 2014-03-28 |
| 1932188331 | Dawes Fretzin Dermatology Group, LLC | Non-Pharmacy Dispensing Site | 7910 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486523 | Innovative Medicine | Non-Pharmacy Dispensing Site | 3554 Promenade Pkwy Ste H, Lafayette, IN 47909-8418 | 2017-06-12 |
| 1265880389 | Purdue Gmp Center | Non-Pharmacy Dispensing Site | 3070 Kent Ave, West Lafayette, IN 47906-1075 | 2016-05-31 |
| 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 |
| 1316354368 | American Health Network of Indiana | Non-Pharmacy Dispensing Site | 775 Manchester Ave Ste B, Ford Meter Box - Superior Health, Wabash, IN 46992-1420 | 2014-07-22 |
| 1528479110 | Flanders Employee Health Clinic | Non-Pharmacy Dispensing Site | 1144 Indy Ct, Evansville, IN 47725-6300 | 2014-05-16 |
| 1962837393 | Mh Nursing of Indiana, PC | Non-Pharmacy Dispensing Site | 1850 Riverfork Dr, C/o Bendix Health Center, Huntington, IN 46750-9004 | 2013-09-04 |
| 1982930483 | Jasper County Hospital | Non-Pharmacy Dispensing Site | 520 S Halleck Street, Demotte, IN 46310-8630 | 2009-10-19 |
| 1528255726 | Walgreen Co | Non-Pharmacy Dispensing Site | 1816 Franklin Street, Michigan City, IN 46360-4504 | 2007-10-02 |
| 1679502686 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 190 Inks Drive, Winchester, IN 47394-8283 | 2006-07-02 |
| 1316940851 | Neuropsychiatric Associates, PC | Non-Pharmacy Dispensing Site | 2410 N Glendale Dr Ste A, Fort Wayne, IN 46804-8909 | 2005-05-28 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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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.