# CENTRAL INDIANA PHYSICIAN ALLIANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.
- **Other names:** IU Health Tipton Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114105517
- **Legal business name:** INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.
- **Authorized official:** KIMBERLEE SHERBROOKE (COO)
- **Authorized official phone:** (317) 278-3505

## Contact information

- **Practice address:** 1000 S MAIN ST, TIPTON, IN 46072-9753
- **Practice address phone:** (765) 675-1745
- **Practice address fax:** (765) 675-8257
- **Mailing address:** 340 W 10TH ST, FS 5100, INDIANAPOLIS, IN 46202-3082
- **Mailing address phone:** (317) 278-3505
- **Mailing address fax:** (317) 278-3502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 08/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000570072 | ANTHEM | IN |
| 05 | — | 200900360 | — | IN |