EVERSIDE HEALTH THOMAS AND SKINNDER HEALTH CENTER
NPI 1073212932
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Indianapolis, IN

Active since March 01, 2023CLIA 15D2278205 · Waiver
1120 E 23RD ST, INDIANAPOLIS, IN 46205(704) 661-1380 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Everside Health Thomas And Skinnder Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERSIDE HEALTH THOMAS AND SKINNDER HEALTH CENTER (NPI 1073212932) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Indianapolis, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1073212932
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH THOMAS AND SKINNDER HEALTH CENTER
Location Address1120 E 23RD STIndianapolis, IN 46205-4508
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
NPI 1073212932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1120 E 23RD ST, Indianapolis, IN 46205

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2278205

Everside Health Thomas & Skinner Health Center · Indianapolis, IN
Active · expires Mar 13, 2027
CLIA Number15D2278205
Laboratory TypeChronic Mgt
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorMadison Schmidt
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health Thomas & Skinner Health Center1120 East 23rd Street, Indianapolis, IN 46205
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Everside Health Thomas And Skinnder Health Center's NPI number?

The NPI number for Everside Health Thomas And Skinnder Health Center is 1073212932. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Everside Health Thomas And Skinnder Health Center located?

Everside Health Thomas And Skinnder Health Center is located at 1120 E 23rd St, Indianapolis, IN 46205. The listed phone number is (704) 661-1380.

What is Everside Health Thomas And Skinnder Health Center's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health Thomas And Skinnder Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2278205) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health Thomas And Skinnder Health Center was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.