PRIMARY CARE MEDICAL HOME (NPI# 1679891360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679891360 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICAL HOME |
| Practice Address |
1089 3rd Ave Sw Carmel IN 46032-7584 |
| Practice Telephone | 3174109119 |
| Mailing Telephone | 3174109119 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | MR. STEVEN KENT EHMKE (CEO/ OWNER) |
| Authorized Official Telephone | 3174109119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
1089 3RD AVE SW |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-7584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157172 | Moving Forward Dme | Durable Medical Equipment & Medical Supplies | 1089 3rd Ave Sw, Carmel, IN 46032-7584 | 2019-04-23 |
| 1629438080 | Cheryl Wicker | Nurse Practitioner | 1089 3rd Ave Sw, Suite 203, Carmel, IN 46032-7584 | 2016-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215599089 | A Better Way Outreach Inc | Clinic/Center | 2325 E New York St, Indianapolis, IN 46201-3113 | 2019-07-02 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1508262916 | Neighborhood Health Clinics, Inc | Clinic/Center | 3350 E Paulding Rd, Fort Wayne, IN 46816-4513 | 2014-11-12 |
| 1861826257 | Montgomery County Free Clinic, Inc | Clinic/Center | 816 Mill St, Crawfordsville, IN 47933-3443 | 2013-08-21 |
| 1750680963 | Care Now Clinics, LLC | Clinic/Center | 11021 Brave Ct, Indianapolis, IN 46236-8237 | 2011-03-28 |
| 1275660888 | Gregory Neil Larkin | Clinic/Center | 704 N Park Ave, Indianapolis, IN 46202-3431 | 2007-02-28 |
| 1831274737 | Wishard Health Services | Clinic/Center | 1002 W. 10th Street, Indianapolis, IN 46202 | 2006-10-26 |
| 1952332298 | Community Healthnet Inc | Clinic/Center | 1021 West 5th Avenue, Gary, IN 46402-1703 | 2006-07-05 |
| 1316561475 | Center for Healing and Hope | Clinic/Center | 902 S Main St, Goshen, IN 46526-4339 | 2020-06-04 |
| 1386880060 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2008-12-30 |
| Find all providers with the same taxonomy | ||||
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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.