BLOOMINGTON MEADOWS GP NPI 1033298120

NPI Information

NPI: 1033298120
Provider Name: BLOOMINGTON MEADOWS GP

Other Name: BLOOMINGTON MEADOWS PHYSICIANS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3600 N PROW RD
BLOOMINGTON, IN
ZIP 47404
Phone: (812) 331-8000
Get Directions

BLOOMINGTON MEADOWS GP is a family nurse practitioner in Bloomington, IN. BLOOMINGTON MEADOWS GP NPI is 1033298120. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bloomington Meadows Physicians.

The provider's business location address is:

3600 N PROW RD
BLOOMINGTON, IN
ZIP 47404-616
Phone: (812) 331-8000
Fax: (812) 331-8985

The provider's authorized official is Steve Filton .
The authorized official title is Sr Vp Cfo and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 4/13/2015.

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
1	364SP0813X	Clinical Nurse Specialist	Psychiatric/Mental Health, Geropsychiatric			No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent			No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	324-1-PIP	INDIANA	No
4	283Q00000X	Psychiatric Hospital		324-1-PIP	INDIANA	No
5	363LP0200X	Nurse Practitioner	Pediatrics	28152858A	INDIANA	No
6	363LF0000X	Nurse Practitioner	Family	71000894A	INDIANA	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	107936	OTHER	INDIANA	ANTHEM
2	2398043	OTHER	OHIO	OHIO MEDICAID
3	060128000	OTHER	INDIANA	MAGELLAN
4	549200	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
5	200075480	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »