Wellformed AI

NPI 1841225091 · live from the CMS NPI Registry

Advanced Healthcare Associates Llp

Internal Medicine, Geriatric Medicine in Elwood, IN. National Provider Identifier 1841225091, active.

NPI record

NPI1841225091 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Geriatric Medicine 207RG0300X
Practice location2300 Parkview Ln, Elwood, IN 46036
Practice phone844-474-4019
Mailing address12420 Milestone Center Dr Ste 200, Germantown, MD 20876
EnumeratedJuly 12, 2006
Last updatedFebruary 24, 2023
Authorized officialKairee Hargett, Asst Manager, Provider Enrollment

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine, Geriatric Medicine207QG0300X— (KY)
Internal Medicine207R00000X— (KY)
Internal Medicine207R00000X— (IN)
Internal Medicine, Geriatric Medicine207RG0300X— (KY)
Nurse Practitioner363L00000X— (KY)
Nurse Practitioner363L00000X— (IN)
Nurse Practitioner, Adult Health363LA2200X— (IN)
Nurse Practitioner, Adult Health363LA2200X— (KY)
Nurse Practitioner, Family363LF0000X— (IN)
Nurse Practitioner, Family363LF0000X— (KY)
Nurse Practitioner, Gerontology363LG0600X— (IN)
Nurse Practitioner, Gerontology363LG0600X— (KY)
Internal Medicine, Geriatric Medicine primary207RG0300X— (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.