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PROACTIVE MD
NPI 1548743552
Clinic/Center - Primary Care in Indianapolis, IN

Active since September 14, 2018
6448 W OHIO ST, INDIANAPOLIS, IN 46214(812) 645-1892 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proactive Md NPPES

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

PROACTIVE MD (NPI 1548743552), doing business as Proactive Md Wayne Township Health Center, is a healthcare organization registered as a primary care in Indianapolis, Indiana and active in the NPI registry since September 2018. The organization lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1548743552
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address6448 W OHIO STIndianapolis, IN 46214-3973
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Phone(812) 645-1892
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (317) 593-5800
Enumeration DateSeptember 14, 2018
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1548743552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6448 W OHIO ST, Indianapolis, IN 46214
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Other Names 2

Other NameProactive Md
Doing Business AsProactive Md Wayne Township Health Center

Other Providers at the Same Location NPPES

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

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Clinic/Center (Primary Care)
6448 W OHIO ST
INDIANAPOLIS, IN 46214
Marion County (317) 641-0551

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 Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1548743552. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Proactive MD Wayne Township Health Center. The provider is also known as Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 6448 W Ohio St, Indianapolis, IN 46214. The listed phone number is (812) 645-1892.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.