CHEYENNE ENTERPRISES NPI 1396160339

NPI Information

  • NPI: 1396160339
  • Provider Name: CHEYENNE ENTERPRISES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SURE SUCCESS MEDICAL
  • Address: 6100 N KEYSTONE AVE
    SUITE 105
    INDIANAPOLIS, IN
    ZIP 46220
  • Phone: (317) 253-7795

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NPI Details

CHEYENNE ENTERPRISES is a family medicine in Indianapolis, 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. CHEYENNE ENTERPRISES NPI is 1396160339. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sure Success Medical.

The provider's business location address is:

6100 N KEYSTONE AVE
SUITE 105
INDIANAPOLIS, IN
ZIP 46220-452
Phone: (317) 253-7795
Fax: (317) 253-7798

The provider's authorized official is Sheila B Thomas .
The authorized official title is Sole Proprietor and has the following contact phone number (317) 253-7795.

The enumeration date for this NPI number is 2/27/2014 and was last updated on 2/27/2014.

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 License Number License State Primary
1207Q00000XFamily Medicine02003529BINDIANAYes

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
1200953660MEDICAIDINDIANA

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: 3/30/2025

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