INDIANA UNIVERSITY (NPI# 1912252594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912252594 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY |
| Practice Address |
1001 W 10th St # M200 Indianapolis IN 46202-2859 |
| Practice Telephone | 3173654260 |
| Mailing Telephone | 3173654260 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DR. MITCHELL GOLDMAN (PROFESSOR OF MEDICINE) |
| Authorized Official Telephone | 3176306857 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11016515A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915817 | Indiana University | General Acute Care Hospital | 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 | 2014-05-27 |
| 1497799787 | Indiana University | Optometrist | 501 Indiana Ave, Suite 100, Indianapolis, IN 46202-3293 | 2006-06-16 |
| 1780022277 | Indiana University | General Acute Care Hospital | 1701 N. Senate Blvd., Ag012, Indiana University Som., Indianapolis, IN 46202 | 2013-06-06 |
| 1366706194 | Indiana University | General Acute Care Hospital | 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1932493566 | Indiana University | Psychiatric Hospital | 1120 South Dr, Fesler Hall, Room 224, Indianapolis, IN 46202-5135 | 2011-05-31 |
| 1265690085 | Indiana University | General Acute Care Hospital | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2008-05-29 |
| 1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
| 1639392848 | Indiana University | Optometrist | 501 Indiana Ave, Indianapolis, IN 46202-3293 | 2007-04-10 |
| 1689790552 | Indiana University | Dentist | 1121 W. Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-03-22 |
| 1346378643 | Indiana University | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY | 107 S Indiana Avenue, Bloomington, IN 47405-7000 |
| Indiana Business Entities | INDIANA UNIVERSITY ALUMNI ASSOCIATION INC | 1000 E. 17th St., Bloomington, IN 47408 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY BLOOMINGTON | 530 E Kirkwood Ave Ste L03, Bloomington, IN 47408-4003 |
| Indiana Business Entities | INDIANA UNIVERSITY BUILDING CORPORATION | 107 S Indiana Ave, Bryan Hall 212, Bloomington, IN 47405-7000 |
| Indiana Business Entities | INDIANA UNIVERSITY CREDIT UNION | P.o. Box 368, Bloomington, IN 47402 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY EAST | 2325 Chester Blvd, Richmond, IN 47374-1220 |
| Indiana Business Entities | INDIANA UNIVERSITY EYE CARE, INC. | 1160 W. Michigan Street, Gk213, Indianapolis, IN 46202 |
| Indiana Business Entities | INDIANA UNIVERSITY FOOTBALL CAMP, INC. | Memorial Stadium, 1001 W 17th St, Indiana University, Bloomington, IN 47408 |
| Oklahoma Business Registrations | INDIANA UNIVERSITY FOUNDATION, INC. | Po Box 500, Bloomington, IN 47402 |
| Colorado Business Entities | Indiana University Foundation, Inc. | 1500 N. State Road 46 Bypass, Bloomington, IN 47408 |
| Street Address |
1001 W 10TH ST # M200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790958130 | Virginia Leigh Reed | Family Medicine | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2008-04-07 |
| 1174963557 | Judy Wawira Gichoya | Radiology | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2013-06-28 |
| 1689011843 | Upasana Jarori | Internal Medicine | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2013-05-29 |
| 1104181601 | Indiana University School of Medicine | General Acute Care Hospital | 1001 W 10th St # M200, Indiana University Department of Dermatology, Indianapolis, IN 46202-2859 | 2012-07-10 |
| 1316201833 | Sufyan Sial | General Acute Care Hospital | 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 | 2012-06-28 |
| 1104180793 | Vindhya Lakshmi Veerula | Dermatology | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2012-06-27 |
| 1144584905 | James Robert Bailey | Internal Medicine | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1790049666 | Gabriel Krause | Anesthesiology | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1366706194 | Indiana University | General Acute Care Hospital | 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1164735270 | Indiana Univerity | General Acute Care Hospital | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2010-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| 1306330980 | Brian Paul Wynia | Internal Medicine | 5122 Millwright Ct, Indianapolis, IN 46254-4786 | 2018-06-18 |
| 1053848457 | Hasan Rana | Internal Medicine | 8081 Township Line Rd Ste 202, Indianapolis, IN 46260-2189 | 2017-05-16 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1225581168 | Stepping Stone Institute, LLC | Internal Medicine | 5785 N Delaware St, Indianapolis, IN 46220-2527 | 2016-07-27 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1275985632 | Nour Hamade | Internal Medicine | 702 Rotary Circle, Suite 225, Indianapolis, IN 46202 | 2016-07-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.