NPIViewer - Provider NPI 1164490843

NPI:	1164490843
Name:	ARNETT CLINIC, LLC
Entity type:	Organization
Organization Name:	ARNETT CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:	DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:	NEUFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	765-448-8000
Mailing Address - Street 1:	1200 W WHITE RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:	MUNCIE
Mailing Address - State:	IN
Mailing Address - Zip Code:	47303-4988
Mailing Address - Country:	US
Mailing Address - Phone:	877-668-5621
Mailing Address - Fax:
Practice Address - Street 1:	5165 MCCARTY LN
Practice Address - Street 2:
Practice Address - City:	LAFAYETTE
Practice Address - State:	IN
Practice Address - Zip Code:	47905-8764
Practice Address - Country:	US
Practice Address - Phone:	765-448-8000
Practice Address - Fax:
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-03-09
Last Update Date:	2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:

State	License ID	Taxonomies
IN		207W00000X, 207L00000X, 207N00000X, 207P00000X, 207Q00000X, 207V00000X, 207X00000X, 207Y00000X, 208000000X, 2085R0202X, 2085R0204X, 208600000X, 208M00000X, 208VP0014X, 207R00000X

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207W00000X	Allopathic & Osteopathic Physicians	Ophthalmology		Group - Multi-Specialty
No	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology		Group - Multi-Specialty
No	207N00000X	Allopathic & Osteopathic Physicians	Dermatology		Group - Multi-Specialty
No	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology		Group - Multi-Specialty
No	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery		Group - Multi-Specialty
No	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology		Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology	Group - Multi-Specialty
No	2085R0204X	Allopathic & Osteopathic Physicians	Radiology	Vascular & Interventional Radiology	Group - Multi-Specialty
No	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty
No	208VP0014X	Allopathic & Osteopathic Physicians	Pain Medicine	Interventional Pain Medicine	Group - Multi-Specialty

State	Identifier ID	ID Type
IN	100332560	Medicaid
IN	200141420	Medicaid
IN	815490	Medicare PIN
IN	815630	Medicare PIN
IN	185820	Medicare PIN
IN	069330	Medicare PIN
IN	142080	Medicare PIN
IN	142090	Medicare PIN
IN	199190	Medicare PIN
IN	815500	Medicare PIN
IN	815520	Medicare PIN
IN	921480	Medicare PIN
IN	815450	Medicare PIN
IN	815460	Medicare PIN
IN	100332560	Medicaid
IN	185510	Medicare PIN
IN	199200	Medicare PIN
IN	815510	Medicare PIN
IN	224390	Medicare PIN
IN	083820	Medicare PIN