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CENTRAL INDIANA PHYSICIAN ALLIANCE LLC NPI 1114105517


NPI Information

NPI: 1114105517
Provider Name: CENTRAL INDIANA PHYSICIAN ALLIANCE, LLC

Doing Business As: IU HEALTH TIPTON PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D2282651

Address:
1000 S MAIN ST
TIPTON, IN
ZIP 46072
Phone: (765) 675-1745
Get Directions

CENTRAL INDIANA PHYSICIAN ALLIANCE, LLC is a family medicine in Tipton, 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. CENTRAL INDIANA PHYSICIAN ALLIANCE, LLC NPI is 1114105517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iu Health Tipton Physicians.

The provider's business location address is:

1000 S MAIN ST
TIPTON, IN
ZIP 46072-753
Phone: (765) 675-1745
Fax: (765) 675-8257

The provider's authorized official is Kimberlee Sherbrooke .
The authorized official title is Coo and has the following contact phone number (317) 278-3505.

The CLIA number assigned to this NPI record is 15D2282651 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 8/19/2014.


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
1207V00000XObstetrics & GynecologyNo
2208000000XPediatricsNo
3208M00000XHospitalistNo
4363AM0700XPhysician AssistantMedicalNo
5207R00000XInternal MedicineNo
6207RG0100XInternal MedicineGastroenterologyNo
7207Q00000XFamily MedicineYes

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
1000000570072OTHERINDIANAANTHEM
2256870MEDICARE PININDIANA
3200900360MEDICAIDINDIANA

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

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.