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CENTRAL INDIANA MEDICAL GROUP
NPI 1871693994
Family Medicine in Greenwood, IN

Active since September 25, 2006
365 E MAIN ST, GREENWOOD, IN 46143(317) 881-5152(317) 881-8993 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Indiana Medical Group NPPES

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

CENTRAL INDIANA MEDICAL GROUP (NPI 1871693994) is a healthcare organization registered as a family medicine in Greenwood, Indiana and active in the NPI registry since September 2006. The organization lists Robert V Klaasen, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1871693994
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND OLE DOCS OF THE SOUTHSIDE, LLC
Location Address365 E MAIN STGreenwood, IN 46143-1361
Mailing Address1350 E County Line Rd, Suite HIndianapolis, IN 46227-0873 · (317) 887-7725 · Fax (317) 887-7751
Phone(317) 881-5152
Fax(317) 881-8993
Organization SubpartNo
Authorized OfficialRobert V KlaasenManaging Physician · (317) 882-6663
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 5, 2013
✔ NPI 1871693994 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.
365 E MAIN ST, Greenwood, IN 46143
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Other Names 1

Doing Business AsCentral Indiana Medical Group

Other Identifiers 3

Other5457630001IN · Dme
Medicare PIN132440IN
OtherCI4722IN · Group Rr Medicare #

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

Other Providers at the Same Location NPPES 4

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

DR. CHARLES L RICHERT M.D.
Family Medicine
365 E MAIN ST
GREENWOOD, IN 46143
Johnson County (317) 882-6663
GRAND OLE DOCS OF THE SOUTHSIDE, LLC
Family Medicine
365 E MAIN ST
GREENWOOD, IN 46143
Johnson County (317) 881-5152
SALUS SOMA, LLC
Clinic/Center (Physical Therapy)
365 E MAIN ST
GREENWOOD, IN 46143
Johnson County (317) 946-9959
WHITNEY RENEE WARTHAN MA, LMFT
Marriage & Family Therapist
365 E MAIN ST
GREENWOOD, IN 46143
Johnson County (317) 903-7913

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 Grand Ole Docs Of The Southside, LLC's NPI number?

The NPI number for Grand Ole Docs Of The Southside, LLC is 1871693994. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Central Indiana Medical Group.

Where is Grand Ole Docs Of The Southside, LLC located?

Grand Ole Docs Of The Southside, LLC is located at 365 E Main St, Greenwood, IN 46143. The listed phone number is (317) 881-5152.

What is Grand Ole Docs Of The Southside, 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 Grand Ole Docs Of The Southside, LLC was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.