IU HEALTH WEST HOSPITAL
NPI 1063443455
General Acute Care Hospital in Avon, IN


Hospital Overall Rating: 4 out of 5 stars

NPI Status: Active since July 05, 2006

Contact Information

1111 RONALD REAGAN PKWY
AVON, IN
ZIP 46123
Phone: (317) 217-3000

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance
  • CLIA Number: 15D2046761
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-10-2026

About IU HEALTH WEST HOSPITAL

Iu Health West Hospital is a hospital serving the Avon, Indiana region. The facility is a general acute care hospital. The NPI number of this hospital is 1063443455 assigned on July 2006. The hospital's primary taxonomy code is 282N00000X with license number 005051 (IN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Iu Health West Hospital. The authorized official of this NPI record is Mr. Kenneth D. Puckett (President)

NPI
1063443455
Provider Legal Name
INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC
Other Organization Name
IU HEALTH WEST HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1111 RONALD REAGAN PKWY AVON, IN 46123
Location Phone
(317) 217-3000
Mailing Address
1111 RONALD REAGAN PKWY AVON, IN 46123
Mailing Phone
(317) 217-3000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2006
Last Update Date
10-25-2023
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According to the Hospital Compare program data, Iu Health West Hospital has good overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 4 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
005051
License State
IN
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KENNETH D. PUCKETT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(317) 217-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200505180MEDICAID (05)IN 
2594858MEDICAID (05)OH 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 4 out of 5 stars - Good

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Nurse Communication - 3 out of 5 stars - Average

    Nurse communication - star rating

  • Doctor Communication - 3 out of 5 stars - Average

    Doctor communication - star rating

  • Staff Responsiveness - 2 out of 5 stars - Fair

    Staff responsiveness - star rating

  • Communication About Medicines - 2 out of 5 stars - Fair

    Communication about medicines - star rating

  • Discharge Information - 3 out of 5 stars - Average

    Discharge information - star rating

  • Care Transition - 3 out of 5 stars - Average

    Care transition - star rating

  • Cleanliness - 3 out of 5 stars - Average

    Cleanliness - star rating

  • Quietness - 2 out of 5 stars - Fair

    Quietness - star rating

  • Recommend Hospital - 4 out of 5 stars - Good

    Recommend hospital - star rating

  • Hospital Type Acute Care Hospitals - Proprietary

  • Emergency Services: Yes

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records: Y

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative sepsis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative respiratory failure rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate among surgical inpatients with serious treatable complications is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Pressure ulcer rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate for stroke patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart attack patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of complications for hip/knee replacement patients is no different than the national rate

    Evaluation Period: July 2020 - March 2023

Hospital Associated Infections Quality Ratings

  • Clostridium Difficile (C.Diff) is better than the national benchmark

    Evaluation Period: January 2023 - December 2023

  • MRSA Bacteremia is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Colon Surgery is worse than the national benchmark

    Evaluation Period: January 2023 - December 2023

  • Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Rate of readmission after hip/knee replacement is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

    Evaluation Period: January 2022 - December 2022

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Hospital return days for pneumonia patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart attack patients is fewer days than average per 100 discharges

    Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

  • Elective Delivery percentage is 0%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is 99

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is 95

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is 99

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 87 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 70

    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is 73 %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is 45 %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 47 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 14

    Evaluation Period: January 2023 - December 2023

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 96 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is 79 %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 2 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is not available minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 241 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 89%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 0.5%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Emergency department volume is high

    Evaluation Period: January 2022 - December 2022

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2046761
Facility Type
Physician Office
Certificate Effective Date
September 11, 2024
Certificate Expiration Date
September 10, 2026
Laboratory Director
WILLIAM J. GILL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Iu Health West Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for IU HEALTH WEST HOSPITAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063443455
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123846410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 8 + 4 + 6 + 4 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063443455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336198761 JOHN G JARRETT MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)1111 RONALD REAGAN PKWY STE C-1100
AVON, IN 46123
(317) 217-2525
1801847496CANCER CARE GROUP, P.C.
Organization
Radiology (Radiation Oncology)1111 RONALD REAGAN PKWY ROOM B1600
AVON, IN 46123
(317) 217-3800
1093757478EMGI CLARIAN WEST, LLC
Organization
Emergency Medicine1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 802-3146
1528087111 NICHOLAS A DOYLE M.D.
Individual
Pediatrics1111 RONALD REAGAN PKWY B1100
AVON, IN 46123
(317) 274-1201
1679677702AMERICAN HEALTH NETWORK OF INDIANA, LLC
Organization
Internal Medicine (Hematology & Oncology)1111 RONALD REAGAN PKWY SUITE 1600
AVON, IN 46123
(317) 329-7430
1215036025 SHIRLI ANNE HAYNES RPH
Individual
Pharmacist1111 RONALD REAGAN PKWY M105
AVON, IN 46123
(317) 217-3355
1164517439 WILLIAM S SOBAT MD
Individual
Surgery1111 RONALD REAGAN PKWY SUITE #B-1540
AVON, IN 46123
(317) 217-3675
1285700542MRS. JENNIFER ANN LEEDS PT
Individual
Physical Therapist1111 RONALD REAGAN PKWY MG214
AVON, IN 46123
(317) 271-3070
1902924715MR. MICHAEL WILLIAMS PT
Individual
Physical Therapist (Orthopedic)1111 RONALD REAGAN PKWY MG100
AVON, IN 46123
(317) 217-3075
1609091255MRS. HANNAH FAITH BRENNAN PTA
Individual
Physical Therapy Assistant1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3000
1467670646MRS. PATRICIA J STACKHOUSE P.T.
Individual
Physical Therapist1111 RONALD REAGAN PKWY SUITE MG214
AVON, IN 46123
(317) 217-3070
1700073608SOLUS CENTER FOR MIND BODY SPIRIT MEDICINE INC
Organization
Specialist1111 RONALD REAGAN PKWY SUITE #B-1540
AVON, IN 46123
(317) 217-3675
1649430646 JAIME MARIE ZEESE DPT
Individual
Physical Therapist1111 RONALD REAGAN PKWY SUITE MG214
AVON, IN 46123
(317) 217-3070
1952561946MRS. JENICA L TABER MS,CCC-SLP
Individual
Speech-Language Pathologist1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3079
1831359900MRS. CHERYL LYNN WENGER PT
Individual
Physical Therapist1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3075
1134389067MR. JEREMY M ENZ PT
Individual
Physical Therapist1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3070
1033379730MRS. LINDA JOYCE PEDERSEN PT
Individual
Physical Therapist1111 RONALD REAGAN PKWY SUITE MG214
AVON, IN 46123
(317) 217-3070
1831350099 NATALIE BULLOCK
Individual
Physical Therapist1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 217-3073
1376704056INDIANA CRH SURGEONS, P.C.
Organization
Surgery1111 RONALD REAGAN PKWY #B-1540
AVON, IN 46123
(317) 217-3675
1194965459 TRISHA BILJANIC PA
Individual
Physician Assistant1111 RONALD REAGAN PKWY
AVON, IN 46123
(317) 802-3146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063443455, enumerated in the NPI registry as an "organization" on July 05, 2006

The provider is located at 1111 Ronald Reagan Pkwy Avon, In 46123 and the phone number is (317) 217-3000

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2046761 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this hospital is 4 out of 5 stars which is good when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.

This hospital has affiliations with at least 669 health care professionals covering 32 different specialties including: Internal Medicine, Radiology, Urology, Nurse Practitioner, Physician Assistant, Pathology, Psychiatry & Neurology, Emergency Medicine, Surgery, Anesthesiology, General Practice, Family Medicine, Orthopaedic Surgery, Obstetrics & Gynecology, Nurse Anesthetist, Certified Registered, Neurological Surgery, Registered Nurse, Student in an Organized Health Care Education/Training Program, Pediatrics, Podiatrist, Pain Medicine, Otolaryngology, Anesthesiologist Assistant, Thoracic Surgery (Cardiothoracic Vascular Surgery), Physical Medicine & Rehabilitation, Clinical Nurse Specialist, Specialist, Dermatology, Plastic Surgery, Nuclear Medicine, Dentist and Social Worker.

This NPI record was last updated on July 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.