AMERICAN HEALTH NETWORK OF INDIANA LLC NPI 1245334259

NPI Information

NPI: 1245334259
Provider Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D1025420

Address:
1115 RONALD REAGAN PKWY
SUITE 100
AVON, IN
ZIP 46123
Phone: (317) 272-7013
Get Directions

AMERICAN HEALTH NETWORK OF INDIANA, LLC is a family medicine in Avon, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AMERICAN HEALTH NETWORK OF INDIANA, LLC NPI is 1245334259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1115 RONALD REAGAN PKWY
SUITE 100
AVON, IN
ZIP 46123-910
Phone: (317) 272-7013
Fax: (317) 272-7007

The provider's authorized official is Ben H Park .
The authorized official title is President And Ceo and has the following contact phone number (317) 580-6307.

The CLIA number assigned to this NPI record is 15D1025420 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/11/2006 and was last updated on 1/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RH0003X	Internal Medicine	Hematology & Oncology	No
3	207V00000X	Obstetrics & Gynecology		No
4	207X00000X	Orthopaedic Surgery		No
5	208100000X	Physical Medicine & Rehabilitation		No
6	2084N0400X	Psychiatry & Neurology	Neurology	No
7	2084P2900X	Psychiatry & Neurology	Pain Medicine	No
8	2085N0904X	Radiology	Nuclear Radiology	No
9	2085R0202X	Radiology	Diagnostic Radiology	No
10	2085U0001X	Radiology	Diagnostic Ultrasound	No
11	208600000X	Surgery		No
12	208VP0000X	Pain Medicine	Pain Medicine	No
13	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
14	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	228250	MEDICARE PIN	INDIANA
2	CH0751	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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