University Pediatric Associates, Inc.

LBN: University Pediatric Associates, Inc.
University Pediatric Associates, Inc. is an health care organization with primary practice located at 705 Riley Hospital Dr Rr 127, Indianapolis IN 46202-5109. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. University Pediatric Associates, Inc. can be contacted via phone (317) 777-6435, or through Haneline, Laura S via phone (317) 777-6435.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 127 Indianapolis IN 46202-5109
Phone: (317) 777-6435
Fax: (317) 777-6644
Website:
Map and Directions
Authorized official contact:
Name: Haneline, Laura S Doctor of Medicine (MD)
Phone: (317) 777-6435

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1457396541
LBN Legal business name University Pediatric Associates, Inc.
DBA Doing business as
Authorized official Haneline, Laura S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated May 8th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457396541 NPPES
Tennessee MEDICAID 1510084
Tennessee MEDICAID 200026880
Tennessee MEDICAID 1011388
Tennessee MEDICAID 3810016815
Tennessee MEDICAID 100382090
Tennessee MEDICAID 200026890
Tennessee MEDICAID 097150200
Tennessee MEDICAID 144666

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