INDY PAIN & INJURY CENTERS LLC (NPI# 1609190842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609190842 |
| Entity Type | Organization |
| Organization Name | INDY PAIN & INJURY CENTERS LLC |
| Practice Address |
4625 S Emerson Ave Indianapolis IN 46203-5972 |
| Practice Telephone | 3175222303 |
| Practice Fax Number | 3175222304 |
| Mailing Telephone | 3175222303 |
| Mailing Fax Number | 3175222304 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | DR. TERRY TOLLE (PRESIDENT) |
| Authorized Official Telephone | 3175222303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01031490A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
4625 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124131826 | Terry Joe Tolle | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-08-16 |
| 1760027890 | Kids & Adult Dental Care Inc | Clinic/Center | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-13 |
| 1689218224 | Aspen Michelle Holmes | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2019-11-06 |
| 1093214793 | Hank Havlin | Physical Therapist | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2018-02-08 |
| 1881977288 | Steven Ryan Hart | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2011-09-21 |
| 1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
| 1912139841 | Bacsa Dental PC | Preferred Provider Organization | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2009-08-11 |
| 1023253861 | Health1st of Indy South | Chiropractor | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2008-12-09 |
| 1831235001 | Charles Dennis Maloney | Plastic Surgery | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2007-01-29 |
| 1497839450 | Billy Lee Walker Jr. | Physician Assistant | 4625 S Emerson Ave, Indianapolis, IN 46203-5972 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| 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 |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
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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.