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SHADELAND FAMILY CARE CENTER
NPI 1477626398
Family Medicine in Indianapolis, IN

Active since November 16, 2006
2040 N SHADELAND AVE, SUITE 300, INDIANAPOLIS, IN 46219(317) 355-3232(317) 355-6042 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadeland Family Care Center NPPES

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

SHADELAND FAMILY CARE CENTER (NPI 1477626398) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since November 2006. The organization lists Jeffery Kirkham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477626398
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY HOSPITALS OF INDIANA INC
Location Address2040 N SHADELAND AVE, SUITE 300Indianapolis, IN 46219-1711
Mailing Address3826 Solutions CtrChicago, IL 60677-3008 · (317) 355-5837 · Fax (317) 355-2205
Phone(317) 355-3232
Fax(317) 355-6042
Organization SubpartYes
Authorized OfficialJeffery KirkhamCfo · (317) 355-4887
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 13, 2011
✔ NPI 1477626398 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 ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
2040 N SHADELAND AVE, Indianapolis, IN 46219
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Other Names 1

Doing Business AsShadeland Family Care Center

Other Identifiers 5

Other5942684IN · Aetna
Other000000226100IN · Anthem
Medicaid100121170AIN
Medicare PIN148310IN
Other000000107139IN · Anthem

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

JENNIFER L O'NEAL LMHC
Counselor (Mental Health)
2040 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46219
Marion County (317) 355-1800
TEYKIA ELICE DEVEAUX MD
Pediatrics
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Marion County (317) 355-2121
BRIDGETTE E MCLAURIN LMHC,LCAC
Counselor (Addiction (Substance Use Disorder))
2040 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46219
Marion County (317) 355-1800
SUSANA WILSON LCSW
Social Worker (Clinical)
2040 N SHADELAND AVE, STE 250
INDIANAPOLIS, IN 46219
Marion County (317) 355-5009
ANGELA LUESSOW APN
Nurse Practitioner (Psychiatric/Mental Health)
2040 N SHADELAND AVE
INDI, IN 46219
Marion County (317) 355-1800
SUSANNE C. BAUGHMAN LCSW
Social Worker (Clinical)
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Marion County (317) 355-1800
KARLEEN RITCHIE
Pharmacist
2040 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Marion County (317) 355-9260
SARAH A SCHINBECKLER APN
Nurse Practitioner (Psychiatric/Mental Health)
2040 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46219
Marion County (317) 355-1800

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 Community Hospitals Of Indiana Inc's NPI number?

The NPI number for Community Hospitals Of Indiana Inc is 1477626398. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Shadeland Family Care Center.

Where is Community Hospitals Of Indiana Inc located?

Community Hospitals Of Indiana Inc is located at 2040 N Shadeland Ave Suite 300, Indianapolis, IN 46219. The listed phone number is (317) 355-3232.

What is Community Hospitals Of Indiana Inc'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 Community Hospitals Of Indiana Inc was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.