Proactive Clinical Partners - Aco | |
2485 Directors Row Ste D Indianapolis IN 46241-4907 | |
(317) 941-7338 | |
(317) 969-6727 |
Full Name | Proactive Clinical Partners - Aco |
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Speciality | Internal Medicine |
Location | 2485 Directors Row Ste D, Indianapolis, Indiana |
Authorized Official Name and Position | Sara Sparks (CFO) |
Authorized Official Contact | 8127985688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Proactive Clinical Partners - Aco 2485 Directors Row Ste D Indianapolis IN 46241-4907 Ph: (317) 941-7338 | Proactive Clinical Partners - Aco 2485 Directors Row Ste D Indianapolis IN 46241-4907 Ph: (317) 941-7338 |
NPI Number | 1821709031 |
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Provider Enumeration Date | 12/08/2022 |
Last Update Date | 06/14/2023 |
Medicare PECOS PAC ID | 5890154884 |
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Medicare Enrollment ID | O20230710000733 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821709031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Syed K Hashmi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265537104 PECOS PAC ID: 0840102570 Enrollment ID: I20090311000491 |
Provider Name | Amy R Spivey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851513014 PECOS PAC ID: 2264579937 Enrollment ID: I20091125000470 |
Provider Name | Jennifer A Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710284526 PECOS PAC ID: 0547442808 Enrollment ID: I20110308000214 |
Provider Name | Ibrar Faqir Paracha |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811157357 PECOS PAC ID: 7214104066 Enrollment ID: I20120118000653 |
Provider Name | Saad A Hafidh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629100268 PECOS PAC ID: 7810077112 Enrollment ID: I20130618000255 |
Provider Name | Karalyn N Jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578972527 PECOS PAC ID: 2365764826 Enrollment ID: I20141211001572 |
Provider Name | Heather Abbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609301282 PECOS PAC ID: 1557630514 Enrollment ID: I20170706001989 |
Provider Name | Heather Lee Strickler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306379540 PECOS PAC ID: 3375815509 Enrollment ID: I20170822003447 |
Provider Name | Carla M Jenkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336439371 PECOS PAC ID: 3678750361 Enrollment ID: I20181017000573 |
Provider Name | Renee' K Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669937538 PECOS PAC ID: 8527306828 Enrollment ID: I20190212001944 |
Provider Name | Durell Page Speed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851863211 PECOS PAC ID: 1153669460 Enrollment ID: I20190212002457 |
Provider Name | Brenda M Jensen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891250700 PECOS PAC ID: 5395086912 Enrollment ID: I20190409001787 |
Provider Name | Courtney N Bumbalough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952881435 PECOS PAC ID: 5799018586 Enrollment ID: I20190611000520 |
Provider Name | Dannielle Christine Gilyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366528820 PECOS PAC ID: 8628305380 Enrollment ID: I20190805000779 |
Provider Name | Jessica Sue Linn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669933057 PECOS PAC ID: 2163752114 Enrollment ID: I20190918001485 |
Provider Name | Jeromy Michael Shoup |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053960120 PECOS PAC ID: 2466783667 Enrollment ID: I20191018000643 |
Provider Name | Melissa R Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275190845 PECOS PAC ID: 9739411869 Enrollment ID: I20191023000196 |
Provider Name | Sarah Farmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558851089 PECOS PAC ID: 3971847153 Enrollment ID: I20200207000642 |
Provider Name | Emily E Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891326948 PECOS PAC ID: 6204264146 Enrollment ID: I20200307000035 |
Provider Name | Jessica Ridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245854801 PECOS PAC ID: 0143641860 Enrollment ID: I20200605000456 |
Provider Name | Shelly Earlywine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831778760 PECOS PAC ID: 8729399514 Enrollment ID: I20210408001759 |
Provider Name | Amanda Larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538832944 PECOS PAC ID: 8224432067 Enrollment ID: I20210802001941 |
Provider Name | Matthew Brandon Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295474088 PECOS PAC ID: 0345597670 Enrollment ID: I20220721003179 |
Provider Name | Chelsea Holder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104551605 PECOS PAC ID: 3274915418 Enrollment ID: I20220803003537 |
Provider Name | Sherri Lynn Russell Musholt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649904541 PECOS PAC ID: 8628453503 Enrollment ID: I20220913001442 |
Provider Name | Jennifer Piercy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366155269 PECOS PAC ID: 1355711391 Enrollment ID: I20230107000131 |
Provider Name | Ayaz Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629573142 PECOS PAC ID: 3870999097 Enrollment ID: I20230524001336 |
Provider Name | Meredith Marley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457071839 PECOS PAC ID: 4486012994 Enrollment ID: I20230615000839 |
Provider Name | Emerson Devore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295454981 PECOS PAC ID: 9638525033 Enrollment ID: I20231020001552 |
Provider Name | Erika Burdick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962264523 PECOS PAC ID: 8628421914 Enrollment ID: I20240202002307 |
Provider Name | Dustin Lafollette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982485926 PECOS PAC ID: 5294178372 Enrollment ID: I20240206000815 |
Provider Name | Stacey Tabor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093579203 PECOS PAC ID: 1850736604 Enrollment ID: I20240301003694 |
Provider Name | Tiffany Mathis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508620717 PECOS PAC ID: 4082051602 Enrollment ID: I20240319001328 |
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