INDIANA UNIVERSITY HEALTH CENTER (NPI# 1568743623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568743623 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH CENTER |
| Practice Address |
600 N Jordan Ave Bloomington IN 47405-3190 |
| Practice Telephone | 8128556511 |
| Practice Fax Number | 8128554628 |
| Mailing Telephone | 8128556511 |
| Mailing Fax Number | 8128554628 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | MR. HUGH J JESSOP (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8128556511 |
| Authorized Official Credential | HSD |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732945 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-09-14 |
| 1437407491 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-23 |
| 1114274156 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-09 |
| 1609134014 | Indiana University Health Center | Community/Behavioral Health | 600 N Jordan Ave, 3rd Floor, Bloomington, IN 47405-3190 | 2012-04-24 |
| 1558518852 | Indiana University Health Center | Clinical Medical Laboratory | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2008-08-19 |
| 1992970719 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2008-04-23 |
| 1619079191 | Indiana University Health Center | Pharmacy | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-09-04 |
| Street Address |
600 N JORDAN AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47405-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182898 | William T Havens | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2005-08-25 |
| 1306470547 | Felicia Cianchetti | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2020-02-26 |
| 1538707823 | Fatima Zaidi | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-12-17 |
| 1942845078 | Daisy Day Anspach | Social Worker | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-11-13 |
| 1417443359 | Denise Hayes | Psychologist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2018-07-03 |
| 1891212767 | George Brandon Muncy | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-08-23 |
| 1871013045 | Molly Elaine Mckelfresh | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-06-20 |
| 1487193512 | David Boncek | Physical Therapist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-02-22 |
| 1336539345 | Michelle Dodson | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-28 |
| 1093105124 | Kelly Lazzell | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1801342621 | William Daniels Jr. | Health Educator | 600 N. Jordan Ave., Bloomington, IN 47405 | 2016-08-31 |
| 1588053664 | Sara Anne Boyer | Preventive Medicine | 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 | 2015-01-13 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1568580314 | Linda Jean Noble | Physical Therapist | Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 | 2007-03-27 |
| 1811482854 | Alexandria Lui | Optometrist | 744 E 3rd St, Bloomington, IN 47405 | 2018-06-22 |
| 1295234763 | Joshua Allan Stommes | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405 | 2018-02-09 |
| 1366432528 | Rebecca D. Eberle | Speech-Language Pathologist | 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 | 2005-10-27 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| Find all providers in zip 47405 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790875706 | Indiana Mri, LLC | Clinic/Center | 3802 Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2006-10-13 |
| 1538602008 | Us Health Imaging LLC | Clinic/Center | 8053 E Bloomington Fwy, Suite 450, Bloomington, MN 55420-4577 | 2016-11-30 |
| 1497149926 | Northstar Imaging LLC | Clinic/Center | 8053 E Bloomington Fwy, #450, Bloomington, MN 55420-4577 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286973 | Reid Physician Associates Inc | Clinic/Center | 1154 S State Road 1 Ste 2, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 1710476668 | Reid Physician Associates, Inc. | Clinic/Center | 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 | 2018-05-07 |
| 1548787203 | Deaconess Hospital, Inc. | Clinic/Center | 4949 Healthy Way Ste B, Evansville, IN 47715-1180 | 2017-08-24 |
| 1013452283 | George B. Pratt, Md | Clinic/Center | 9015 Crystal Lake Dr, Indianapolis, IN 46240-6414 | 2016-12-27 |
| 1134564016 | Chn Jmh Ventures LLC | Clinic/Center | 3000 S State Road 135 Ste 120, Greenwood, IN 46143-9829 | 2013-05-06 |
| 1578871257 | Smartview Imaging, LLC | Clinic/Center | 7818 E 96th St, Fishers, IN 46037-9629 | 2010-09-16 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1205919982 | Northwestern Medical Imaging LLC | Clinic/Center | 1946 45th Ave, Munster, IN 46321-3917 | 2006-10-24 |
| 1720178726 | Indiana Mri of Evansville, LLC | Clinic/Center | 729 John St, Evansville, IN 47713-2754 | 2006-10-13 |
| 1750471470 | Indiana Regional P E T and Imaging Center, LLC | Clinic/Center | 7891 Broadway Ste A, Merrillville, IN 46410-5556 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47405 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY HEALTH CENTER.
| 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.