DEPENDENCY MEDICAL HOLDINGS CORPORATION (NPI# 1659841880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659841880 |
| Entity Type | Organization |
| Organization Name | DEPENDENCY MEDICAL HOLDINGS CORPORATION |
| Practice Address |
5600 W Bradbury Ave Indianapolis IN 46241 |
| Mailing Address |
1515 N Post Rd Indianapolis IN 46219-4213 |
| Practice Telephone | 3175620500 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | DIANE M. STONE (AO) |
| Authorized Official Telephone | 3179663990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 N Post Rd Ste C, Indianapolis, IN 462194213 | 3174058833 | |
| 5600 W Bradbury Ave, Indianapolis, IN 462415031 | 3175620500 | |
| 6950 Hillsdale Ct, Indianapolis, IN 46250 | 3176217740 |
| Street Address |
5600 W BRADBURY AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| 1114581709 | Ambria Denise Marie White | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-04-29 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824698 | Acorn Addiction Centers, LLC | Family Medicine | 1201 N Post Rd Ste 4, Indianapolis, IN 46219-4225 | 2015-10-27 |
| 1043383680 | The Kolbe Center | Family Medicine | 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134306947 | Gerald Paul Myers | Family Medicine | 3 Park Row, Michigan City, IN 46360 | 2008-01-23 |
| 1336211481 | Midwest Integrated Health Systems, P.C. | Family Medicine | 3300 W 15th Ave, Gary, IN 46404-1963 | 2006-11-14 |
| 1235209156 | Elmo Allen Griggs | Family Medicine | 2811 Washington Ave, Bedford, IN 47421-5310 | 2006-11-08 |
| 1194719757 | Lawrence Hastings Schoch | Family Medicine | 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 | 2005-09-09 |
| 1609340983 | Nwi Behavioral & Addiction Medicine LLC | Family Medicine | 7805 Taft St, Merrillville, IN 46410-5233 | 2019-01-19 |
| 1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
| 1215411020 | Stellhorn Wellness, LLC | Family Medicine | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2018-09-18 |
| 1013418599 | East Indiana Recovery, LLC | Family Medicine | 1528 Nw 5th St, Richmond, IN 47374-1844 | 2018-02-21 |
| 1962900183 | Spero Health of Indiana, LLC | Family Medicine | 4847 E Virginia St, Evansville, IN 47715-2611 | 2018-01-23 |
| 1811351778 | Opioid Management LLC | Family Medicine | 821 N State Road 135, Greenwood, IN 46142-1314 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on DEPENDENCY MEDICAL HOLDINGS CORPORATION.
| 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.