INDIANA ENDOSCOPY CENTERS LLC (NPI# 1861657256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861657256 |
| Entity Type | Organization |
| Organization Name | INDIANA ENDOSCOPY CENTERS LLC |
| Practice Address |
10967 Allisonville Rd Suite 100 Fishers IN 46038-2630 |
| Mailing Address |
1801 N Senate Blvd Suite 410 Indianapolis IN 46202-1228 |
| Practice Telephone | 3179625660 |
| Mailing Telephone | 3179625660 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | DR. ROBERT BOEGLIN (PRESIDENT) |
| Authorized Official Telephone | 3179625660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
08-006221-1 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200893990C | 05 | |
| MEDICARE PTAN | ZJ0010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609051515 | Indiana Endoscopy Centers LLC | Clinic/Center | 1801 N Senate Blvd Ste 410, Indianapolis, IN 46202-1245 | 2008-01-09 |
| 1811172729 | Indiana Endoscopy Centers LLC | Clinic/Center | 1115 Ronald Reagan Pkwy Ste 347, Avon, IN 46123-6914 | 2008-01-09 |
| Street Address |
10967 ALLISONVILLE RD SUITE 100 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-2630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598890907 | Mark William Roark | Optometrist | 10967 Allisonville Rd, Suite 120, Fishers, IN 46038-2632 | 2007-02-23 |
| 1073979993 | Integrative Wellness Inc | Family Medicine | 10967 Allisonville Rd, Suite 220, Fishers, IN 46038-2632 | 2016-01-07 |
| 1003291089 | Kelly Christine Summers | Optometrist | 10967 Allisonville Rd, Suite 120, Fishers, IN 46038-2632 | 2015-07-20 |
| 1992106769 | Gwendolyn Sunkel | Nurse Practitioner | 10967 Allisonville Rd, Suite 240, Fishers, IN 46038-2632 | 2014-09-11 |
| 1932441847 | Teverbaugh4 LLC | Dentist | 10967 Allisonville Rd, Suite 200, Fishers, IN 46038-2632 | 2013-03-19 |
| 1811242456 | Joe Blum | Chiropractor | 10967 Allisonville Rd, Ste 220, Fishers, IN 46038-2634 | 2012-07-19 |
| 1043542210 | Diana Teverbaugh | Dentist | 10967 Allisonville Rd, Suite 200, Fishers, IN 46038-2632 | 2010-02-12 |
| 1831379445 | Peter Donald Farr | Family Medicine | 10967 Allisonville Rd, 110, Fishers, IN 46038-2632 | 2007-11-12 |
| 1992830319 | Allisonville Eye Care Center, Inc | Clinic/Center | 10967 Allisonville Rd, Suite 120, Fishers, IN 46038-2632 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1598270076 | Beltway Surgery Centers, LLC | Clinic/Center | 13100 E 136th St Ste 1100, Fishers, IN 46037-9418 | 2017-12-06 |
| 1215187802 | Fishers Ambulatory Surgery Center, LLC | Clinic/Center | 13914 State Road 238 East, Suite 200, Fishers, IN 46037-5506 | 2008-09-19 |
| 1477846145 | Indiana University Health Saxony Surgery Center LLC | Clinic/Center | 13100 East 136th Street, 1100, Fishers, IN 46037 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
| 1306351887 | Beltway Surgery Centers, LLC | Clinic/Center | 8830 S Meridian St Ste 250, Indianapolis, IN 46217-5029 | 2017-12-06 |
| 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.