INNOVATIVE MEDICAL GROUP, LLC (NPI# 1962710343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962710343 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE MEDICAL GROUP, LLC |
| Practice Address |
10105 Quaker Ridge Ct Fishers IN 46037-9484 |
| Practice Telephone | 3174076275 |
| Practice Fax Number | 3175768147 |
| Mailing Telephone | 3174076275 |
| Mailing Fax Number | 3175768147 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Authorized Official Name | MR. MARK DALE (CO-OWNER) |
| Authorized Official Telephone | 3174076275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
10105 QUAKER RIDGE CT |
| City | FISHERS |
| State | IN |
| Zip Code | 46037-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1033776604 | Diane M Gianfagna-meils | Reflexologist | 9117 Thoreau Court, Fishers, IN 46037 | 2019-05-20 |
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1578098703 | Galaxy Healthcare Services LLC | Home Health | 12262 Steepleview Ct, Fishers, IN 46037 | 2017-04-25 |
| 1386980472 | Brenda Lynn Thompson | Counselor | 8880 Jaywick Dr Apt 206, Fishers, IN 46037 | 2012-12-18 |
| 1972887941 | Molly E Bruvold | Pharmacist | 13741 East 116th Street, Fishers, IN 46037 | 2011-10-07 |
| 1588970867 | Marie C. Holt, Dds | Dentist | 7862 E. 96th St., Fishers, IN 46037 | 2010-08-25 |
| 1114157815 | Francis Edward Mcaree Jr. | Obstetrics & Gynecology | 10907 300 Yd. Dr, Fishers, IN 46037 | 2009-07-16 |
| 1740433820 | Robert Gerald Klitzman | Orthopaedic Surgery | 13100 E. 136th St., Suite 2000, Fishers, IN 46037 | 2008-11-03 |
| Find all providers in zip 46037 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649796830 | Heartland Medical, LLC | Durable Medical Equipment & Medical Supplies | 12289 Harvest Glen Blvd, Fishers, IN 46037 | 2017-08-18 |
| 1407308877 | Anesthesia Services Associates, Pllc. | Durable Medical Equipment & Medical Supplies | 10967 Allisonville Rd Ste 240, Fishers, IN 46038-2634 | 2016-11-01 |
| 1043640626 | St. Vincent Anderson Regional Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 13914 State Road E, Room 300, Fishers, IN 46037-5506 | 2013-11-19 |
| 1427485234 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9354 Ambleside Dr, Fishers, IN 46038-8327 | 2013-10-11 |
| 1164766028 | Sports & Orthopedic Solutions, LLC | Durable Medical Equipment & Medical Supplies | 13920 Ash Stone Ct, Fishers, IN 46040-9434 | 2012-11-15 |
| 1750642591 | Pro Tech Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 9048 Rider Dr, Fishers, IN 46038-3441 | 2012-06-07 |
| 1568749703 | Indiana University Health Inc | Durable Medical Equipment & Medical Supplies | 13100 E 136th St Ste 3200b, Fishers, IN 46037-9811 | 2011-11-15 |
| 1912297714 | Lifestyle Mobility Plus, Inc. | Durable Medical Equipment & Medical Supplies | 13256 Saxony Blvd, Fishers, IN 46037-6288 | 2011-04-13 |
| 1366743809 | Jb3 LLC | Durable Medical Equipment & Medical Supplies | 11745 Whisperwood Way # 55a, Fishers, IN 46037-7517 | 2010-11-16 |
| 1881917961 | Merricare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 10387 Water Crest Dr, Fishers, IN 46038-7419 | 2010-03-03 |
| Find all providers in FISHERS | ||||
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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.