# INDYSTATHEALTHEDU, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDYSTATHEALTHEDU, LLC
- **Other names:** IndyStatHealth, IndyStatHealth Care Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336751312
- **Legal business name:** INDYSTATHEALTHEDU, LLC
- **Authorized official:** JERUSHA KETURAH SEUNG APRN, FNP-C, WCC (MEDICAL DIRECTOR AND DIRECTOR OF ED)
- **Authorized official phone:** (317) 260-9333

## Contact information

- **Practice address:** 9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
- **Practice address phone:** (317) 260-9333
- **Mailing address:** 9465 COUNSELORS ROW STE 200, INDIANAPOLIS, IN 46240-3817
- **Mailing address phone:** (317) 260-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 08/20/2020
- **Last updated:** 04/26/2024