Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of Indiana Medical, PC

Organization Multi-Specialty Clinic/Center · NPI 1902688617

Premise Health of Indiana Medical, PC is a Multi-Specialty Clinic/Center in Indianapolis, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8677 Impact Ct
Indianapolis, IN 46219-1424
Phone: (371) 895-7173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1902688617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Leizman — President · (615) 468-6270
Other names Adidas Indianapolis Health Center
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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