ELIZABETH TIBBS


Address: 10590 N Meridian St Ste 105, Indianapolis, IN 46290
Phone: 3175837800

ELIZABETH TIBBS (NPI# 1801281670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 10590 N MERIDIAN ST STE 105
City INDIANAPOLIS
State IN
Zip Code 46290

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City INDIANAPOLIS
Zip Code 46290

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Dataset Information

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.

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