Kimberly Mcgillicuddy (NPI# 1255840401, PAC ID# 1254607336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255840401 |
| PAC ID by PECOS | 1254607336 |
| Professional Enrollment ID | I20171017001726 |
| Full Name | Kimberly Mcgillicuddy |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Address |
9670 E Washington St 120 Iu Health Physicians Indianapolis IN 46229-3051 |
| Phone Number | 3178905700 |
| Gender | F |
| Medical School | INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799755864 |
| Number of Group Practice Members | 461 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 | 3178905700 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Physicians | 440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Elizabeth Green | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 2901 W Jackson St, Iu Health Diabetes Center, Muncie, IN 47304-4307 |
| Clare Jung Eun Lee | Endocrinology | Indiana University Health Care Associates Inc | 720 Eskenzai Ave, Iu Health Phy, Indianapolis, IN 46202-2879 |
| Stephanie Lynn Reynolds | Family Medicine | Indiana University Health Care Associates Inc | 6845 E Us Hwy 36 600, Iu Health Physicians, Avon, IN 46123-8132 |
| Holly N Deckard | Nurse Practitioner | Indiana University Health Care Associates Inc | 1275 Pkwy Dr, Zionsville, IN 46077-1953 |
| Amy E Branch | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 8820 S Meridian St, Suite 120, Indianapolis, IN 46217-6056 |
| Anne C Whitehead | Emergency Medicine | Indiana University Health Care Associates Inc | 1701 Senate Blvd Room, Ag022 Iu Health Behavioral and Psychiatry, Indianapolis, IN 46202-1239 |
| Ellen W Kaehr | Geriatric Medicine | Indiana University Health Care Associates Inc | 1633 N Capital Ave, The Indiana Clinic, Indianapolis, IN 46202-1261 |
| Anthony R Zabel | Family Medicine | Indiana University Health Care Associates Inc | 6866 W Stonegate Dr, Suite 100, Zionsville, IN 46077-8051 |
| Dawn D Stidham | Nurse Practitioner | Indiana University Health Care Associates Inc | 4001 W Goeller Blvd A, Columbus, IN 47201-8309 |
| Courtney Lynn Beam | Nurse Practitioner | Indiana University Health Care Associates Inc | 1801 N Senate Blvd, 535 Iu Health Physicians Orthopaedics, Indianapolis, IN 46202-1204 |
| Street Address |
9670 E WASHINGTON ST 120 IU HEALTH PHYSICIANS |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46229-3051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarick Isam Abdo | Podiatry | Podiatry Associates of Indiana PC | 9670 E Washington St, Suite 215, Indianapolis, IN 46229-3051 |
| Melissa Hendricks | Clinical Social Worker | Indiana University Health Care Associates Inc | 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 |
| Sarah J Thomason | Clinical Social Worker | Indiana University Health Care Associates Inc | 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 |
| Lilian Smith | Clinical Social Worker | Indiana University Health Care Associates Inc | 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 |
| Karen Godfrey Choate | Clinical Social Worker | Indiana University Health Care Associates Inc | 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naseem Labue | Family Medicine | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Jared C Basham | Family Medicine | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Roddrea Montgomery | Family Medicine | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Melissa Jane Smith | Nurse Practitioner | Community Physicians of Indiana Inc | 9015 E 17th St, Indianapolis, IN 46229-2016 |
| Teresa M Schaeffer | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Elena D Burtea | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Sandra Kathryn Horan Toll | Nurse Practitioner | Community Physicians of Indiana Inc | 10122 E 10th St, Indianapolis, IN 46229-2664 |
| John A Desanto | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Cynthia S Meneghini | Family Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Vanita Yakhmi | Internal Medicine | Community Physicians of Indiana Inc | 10122 E 10th St, Suite 220, Indianapolis, IN 46229-2664 |
| Find all physicians in zip 46229 | |||
| City | INDIANAPOLIS |
| Zip Code | 46229 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Mcgillicuddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.