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PREMISE HEALTH OF INDIANA MEDICAL, PC
NPI 1902688617
Clinic/Center - Multi-Specialty in Indianapolis, IN

Active since October 17, 2023
8677 IMPACT CT, INDIANAPOLIS, IN 46219(371) 895-7173 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premise Health Of Indiana Medical, Pc NPPES

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

PREMISE HEALTH OF INDIANA MEDICAL, PC (NPI 1902688617) is a healthcare organization registered as a multi-specialty in Indianapolis, Indiana and active in the NPI registry since October 2023. The organization lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1902688617
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL, PC
Location Address8677 IMPACT CTIndianapolis, IN 46219-1424
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(371) 895-7173
Organization SubpartNo
Authorized OfficialJonathan LeizmanPresident · (615) 468-6270
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1902688617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
8677 IMPACT CT, Indianapolis, IN 46219
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Other Providers at the Same Location NPPES

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

ANGELA KAY POE RN
Registered Nurse (Occupational Health)
8677 IMPACT CT
INDIANAPOLIS, IN 46219
Marion County (317) 895-7173

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 Premise Health Of Indiana Medical, PC's NPI number?

The NPI number for Premise Health Of Indiana Medical, PC is 1902688617. It was assigned to this organization in the NPPES registry on October 17, 2023.

Where is Premise Health Of Indiana Medical, PC located?

Premise Health Of Indiana Medical, PC is located at 8677 Impact Ct, Indianapolis, IN 46219. The listed phone number is (371) 895-7173.

What is Premise Health Of Indiana Medical, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical, PC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.