Provider Demographics
NPI:1609873124
Name:INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC
Entity Type:Organization
Organization Name:INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC
Other - Org Name:WESTVIEW HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-920-7474
Mailing Address - Street 1:3630 GUION RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1616
Mailing Address - Country:US
Mailing Address - Phone:371-920-7195
Mailing Address - Fax:317-920-7551
Practice Address - Street 1:3630 GUION ROAD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1616
Practice Address - Country:US
Practice Address - Phone:371-920-8439
Practice Address - Fax:317-920-7551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN273R00000X, 273Y00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN150129Medicare Oscar/Certification
IN941480KMedicare ID - Type UnspecifiedKENNETH BYERLY DO
IN941480Medicare ID - Type UnspecifiedER PHYSICIANS GROUP
IN941480YMedicare ID - Type Unspecified
IN15S129Medicare Oscar/Certification
IN15T129Medicare Oscar/Certification
IN941480SMedicare ID - Type UnspecifiedJOEL NELSON MD
IN941480RMedicare ID - Type UnspecifiedRAYMOND PIEDMONTE MD
IN941480LMedicare ID - Type UnspecifiedBEN HUANG DO