UROLOGY OF INDIANA L.L. C. (NPI# 1578961314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578961314 |
| Entity Type | Organization |
| Organization Name | UROLOGY OF INDIANA L.L. C. |
| Practice Address |
1115 Ronald Reagan Pkwy Suite 247 Avon IN 46123-6910 |
| Mailing Address |
679 E County Line Rd Greenwood IN 46143-1049 |
| Practice Telephone | 3176718032 |
| Practice Fax Number | 3176718033 |
| Mailing Telephone | 3178597222 |
| Mailing Fax Number | 3178597220 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. GLEN A BRUNK (M.D./OWNER) |
| Authorized Official Telephone | 3178597222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | GROUP NPI | 1487680518 | 01 |
| IN | 100194370 U | 05 | |
| IN | NSC NPI # | 1578961314 | 01 |
| Street Address |
1115 RONALD REAGAN PKWY SUITE 247 |
| City | AVON |
| State | IN |
| Zip Code | 46123-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573620 | James C Sloan | Urology | 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 | 2005-07-29 |
| 1487111274 | Ann Shackelford Reeves | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2019-02-27 |
| 1215412432 | Heather Renee Seaborne | Registered Nurse | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2018-10-03 |
| 1770959744 | Chelsea Durnil | Pharmacist | 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 | 2015-08-13 |
| 1639445315 | Thomas A Brady Sports Medicine Ctr | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2012-03-28 |
| 1912290925 | Kyle Andrew Frick | Internal Medicine | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2011-05-24 |
| 1831405422 | Amanda N Crishon | Audiologist | 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 | 2010-08-20 |
| 1831410703 | Robert Neal Ingram | Registered Nurse | 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910 | 2010-06-15 |
| 1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
| 1750614400 | Lauren D Fahey | Physician Assistant | 1115 Ronald Reagan Pkwy, Suite 348, Avon, IN 46123-6910 | 2009-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891936621 | Alternative To Crutches | Durable Medical Equipment & Medical Supplies | 6570 Lake Forest Dr, Avon, IN 46123-7405 | 2009-03-06 |
| 1144355199 | Freedom Mobility LLC | Durable Medical Equipment & Medical Supplies | 222 Shelton Drive, Avon, IN 46123 | 2007-02-22 |
| 1437276169 | Hartford Eye Physicians | Durable Medical Equipment & Medical Supplies | 51 E Main St, Avon, CT 06001-3821 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402989 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 12680 Ford Dr, Fishers, IN 46038-2892 | 2020-06-23 |
| 1770108169 | Rehab Medical, LLC | Durable Medical Equipment & Medical Supplies | 15252 Stony Creek Way Ste 103, Noblesville, IN 46060-4390 | 2020-06-11 |
| 1154945657 | Indianapolis Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 7241 E 146th St, Carmel, IN 46033-9858 | 2020-06-01 |
| 1215557137 | Mp Supports LLC | Durable Medical Equipment & Medical Supplies | 1178 Fremont Ct Ste 1f, Elkhart, IN 46516-9321 | 2020-04-21 |
| 1821645169 | Eperture LLC | Durable Medical Equipment & Medical Supplies | 4070 25th St, Columbus, IN 47203-3161 | 2019-08-21 |
| 1588219729 | Crossings Clinic LLC | Durable Medical Equipment & Medical Supplies | 5520 E Highway 62, Jeffersonville, IN 47130-8735 | 2019-08-05 |
| 1972069904 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 200 E Lincoln Rd, Kokomo, IN 46902-3564 | 2019-02-14 |
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1407342157 | Vivian Ann Allen-baer | Durable Medical Equipment & Medical Supplies | 2316 Gutford Rd, Clarksville, IN 47129-9048 | 2018-07-05 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
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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.