ELIZABETH TIBBS (NPI# 1801281670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801281670 |
Entity Type | Individual |
Full Name | ELIZABETH TIBBS |
Other Name | ELIZABETH HAZLEHURST |
Credential | PA-C |
Practice Address |
10590 N Meridian St Ste 105 Indianapolis IN 46290 |
Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
Practice Telephone | 3175837800 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2018-06-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 10002453A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA11481 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA-1038 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10002453A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10590 N MERIDIAN ST STE 105 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588699714 | Scott A Hanan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2006-07-12 |
1073150918 | Katie Elizabeth Abney | Nurse Practitioner | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2019-12-10 |
1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
1598784001 | David A Heimansohn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
1538374780 | Arthur J Sumrall | Dermatology | 10291 N Meridian St, Suite 300, Indianapolis, IN 46290 | 2007-05-11 |
Find all providers in zip 46290 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760947329 | Ellen M Randall | Physician Assistant | 705 Riley Hospital Dr Ste 2514, Indianapolis, IN 46202-5109 | 2019-02-07 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
1912963620 | Kimberly D Hand | Physician Assistant | 8141 South Emerson Ave, Suite A, Indianapolis, IN 46237 | 2006-04-21 |
1447212162 | Jennifer S. Rothenberger | Physician Assistant | 8333 Naab Rd Ste 250, Indianapolis, IN 46260 | 2006-04-06 |
1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
1407495906 | Rachel C Ehrman | Physician Assistant | 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256-4640 | 2019-12-31 |
1922659226 | Taylor Ann Smith | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2019-09-27 |
1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
1093201048 | Brooke Michele Stein | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290-1028 | 2018-07-02 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46290 |
Please comment or provide details below to improve the information on ELIZABETH TIBBS.
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.