Provider Demographics
NPI:1407111875
Name:INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC
Entity Type:Organization
Organization Name:INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC
Other - Org Name:WESTVIEW HOSPITAL PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-920-7348
Mailing Address - Street 1:3520 GUION RD
Mailing Address - Street 2:STE 203
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1672
Mailing Address - Country:US
Mailing Address - Phone:317-644-5014
Mailing Address - Fax:317-644-5060
Practice Address - Street 1:3077 E 98TH ST
Practice Address - Street 2:STE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-1969
Practice Address - Country:US
Practice Address - Phone:317-843-2613
Practice Address - Fax:317-574-5185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty