INDYSTATHEALTH
NPI 1336751312
Family Medicine in Indianapolis, IN

Active since August 20, 2020
9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240(317) 260-9333 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2024, Aug 20, 2020 (2 updates tracked since 2020).

About Indystathealth NPPES

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

INDYSTATHEALTH (NPI 1336751312) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since August 2020. The organization lists Jerusha Keturah Seung, Medical Director And Director Of Ed, as its authorized official.

NPPES Registry Identity

NPI1336751312
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDYSTATHEALTHEDU, LLC
Location Address9465 COUNSELORS ROW STE 200Indianapolis, IN 46240-3817
Mailing Address9465 Counselors Row Ste 200Indianapolis, IN 46240-3817 · (317) 260-9333
Organization SubpartYes
Authorized OfficialJerusha Keturah SeungMedical Director And Director Of Ed · (317) 260-9333
Enumeration DateAugust 20, 2020
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
NPI 1336751312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
9465 COUNSELORS ROW STE 200, Indianapolis, IN 46240

Other Names 2

Doing Business AsIndystathealth
Doing Business AsIndystathealth Care Group

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Counselor (Mental Health)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Private Vehicle
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Technician (Personal Care Attendant)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Clinic/Center (Corporate Health)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Psychologist (Health Service)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Counselor (Mental Health)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240
Counselor (Mental Health)
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN 46240

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 Indystathealthedu, LLC's NPI number?

The NPI number for Indystathealthedu, LLC is 1336751312. It was assigned to this organization in the NPPES registry on August 20, 2020. The provider is doing business as Indystathealth and IndyStatHealth Care Group.

Where is Indystathealthedu, LLC located?

Indystathealthedu, LLC is located at 9465 Counselors Row Ste 200, Indianapolis, IN 46240. The listed phone number is (317) 260-9333.

What is Indystathealthedu, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Indystathealthedu, LLC was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.