INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC (NPI# 1679916001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679916001 |
Entity Type | Organization |
Organization Name | INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC |
Other Organization Name | IMCN |
Practice Address |
6925 Shore Ter Indianapolis IN 46254-4675 |
Practice Telephone | 3172908288 |
Practice Fax Number | 3172908801 |
Mailing Telephone | 3172908288 |
Mailing Fax Number | 3172908801 |
Enumeration Date | 2013-04-16 |
Last Update Date | 2013-11-06 |
Authorized Official Name | DR. BRYANT KING (OWNER) |
Authorized Official Telephone | 3177579731 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
01061402A | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | NPI | 1679916001 | 01 |
Other Name | Type Code |
---|---|
IMCN | Doing Business As Name - Organization |
Street Address |
6925 SHORE TER |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-4675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
1093055923 | Prings Dialysis LLC | Clinic/Center | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2013-03-01 |
1184835654 | American Health Network of Indiana, LLC | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
Find all providers in zip 46254 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654070 | Providence Medical Associates LLC | Clinic/Center | 1935 N Capitol Ave Ste 107, Indianapolis, IN 46202-6403 | 2020-09-18 |
1306222757 | Midwest Wellness LLC | Clinic/Center | 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 | 2015-08-08 |
1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
1609079607 | Jeffrey D. Wagner, Md, PC | Clinic/Center | 8040 Clearvista Pkwy Ste 570, Indianapolis, IN 46256-4673 | 2007-06-07 |
1457736811 | Ace Medical Services | Clinic/Center | 855 N High School Rd, Suite 5, Indianapolis, IN 46214-5701 | 2015-07-28 |
1043500010 | Franciscan Saint Francis Hospitals and Health Centers | Clinic/Center | 5230 E Stop 11 Rd Ste A, Indianapolis, IN 46237-6339 | 2011-04-12 |
1801116223 | Neurological Care of Indiana Inc | Clinic/Center | 3500 Depauw Blvd Ste 2082, Indianapolis, IN 46268-1137 | 2010-06-08 |
1881875540 | Indiana Center for Health and Nutrition | Clinic/Center | 7440 N Shadeland Ave, Suite 206, Indianapolis, IN 46250-2029 | 2007-11-21 |
1265644397 | Indiana Spine and Pain Center Inc | Clinic/Center | 8202 Clearvista Parkway, Suite 9 E, Indianapolis, IN 46256-1457 | 2007-05-03 |
1770706160 | Aba Programming Inc. | Clinic/Center | 7901 E 88th St, Indianapolis, IN 46256-1235 | 2007-04-11 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46254 |
Please comment or provide details below to improve the information on INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC.
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.