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LIZTON FAMILY MEDICINE
NPI 1710084025
Family Medicine in Lizton, IN

Active since September 20, 2006CLIA 15D1058657 · Waiver
1045 WYATT WAY, LIZTON, IN 46149(317) 994-6600(317) 994-6605 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lizton Family Medicine NPPES

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

LIZTON FAMILY MEDICINE (NPI 1710084025) is a healthcare organization registered as a family medicine in Lizton, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Heather Rutherford, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1710084025
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHENDRICKS COUNTY HOSPITAL
Location Address1045 WYATT WAYLizton, IN 46149
Mailing Address1100 Southfield Dr, Suite 1370Plainfield, IN 46168-4498 · (317) 837-5571 · Fax (317) 837-5580
Phone(317) 994-6600
Fax(317) 994-6605
Organization SubpartNo
Authorized OfficialHeather RutherfordCredentialing Coordinator · (317) 837-5566
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1710084025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1045 WYATT WAY, Lizton, IN 46149
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Other Names 1

Doing Business AsLizton Family Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 15D1058657

Lizton Family Medicine · Lizton, IN
Active · expires Dec 31, 2026
CLIA Number15D1058657
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDavid M. Stopperich
Laboratory Phone(317) 994-6600
Laboratory LocationLizton Family Medicine1045 Wyatt Way, Lizton, IN 46149
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LISA J FRYE NP
Nurse Practitioner (Family)
1045 WYATT WAY
LIZTON, IN 46149
Hendricks County (317) 994-6600
DAVID M STOPPERICH M.D.
Family Medicine
1045 WYATT WAY
LIZTON, IN 46149
Hendricks County (317) 994-6600
KENNETH MITCHUM MAYNARD D.O.
Family Medicine
1045 WYATT WAY
LIZTON, IN 46149
Hendricks County (317) 994-6600

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 Hendricks County Hospital's NPI number?

The NPI number for Hendricks County Hospital is 1710084025. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Lizton Family Medicine.

Where is Hendricks County Hospital located?

Hendricks County Hospital is located at 1045 Wyatt Way, Lizton, IN 46149. The listed phone number is (317) 994-6600.

What is Hendricks County Hospital's specialty?

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

Does Hendricks County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1058657) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hendricks County Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Hendricks County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hendricks County Hospital was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.