MEDICARE: INDIANA HEART HOSPITAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XP3100X	Pediatric Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1316239262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA HEART HOSPITAL LLC

Provider Business Mailing Address
First Line	:	6435 CASTLETON WEST DRIVE
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1940
Country	:	US
Telephone Number	:	317-621-0919
Fax Number	:	317-355-9760

Provider Business Practice Location Address
First Line	:	14540 PRAIRIE LAKES BLVD NORTH
Second Line	:	SUITE 105
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4370
Country	:	US
Telephone Number	:	317-621-0370
Fax Number	:	317-621-0381

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS A MALSTO
Credential	:
Telephone Number	:	31776218000

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/11/2011

Similar Medicare Providers

1194253898 — DR. BENJAMIN MARKUS FARTHING DO, PHARMD
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 101
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-764-2141
Practice Fax: 317-764-2147

1477545127 — DR. JEFFREY M BLAKE MD
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 110
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-982-5222
Practice Fax: 317-982-5223

1588641740 — MARK J AMBRE M.D.
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 200
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-578-4193
Practice Fax:

1245217355 — KATHLEEN A MILLER M.D.
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 200
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-578-4193
Practice Fax:

1639157480 — JENNIFER M JORDAN CPNP
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 200
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-578-4193
Practice Fax:

1568663409 — SCOTT ALAN BOSCHEE MD
Practice Location Address:

14540 PRAIRIE LAKES BLVD N STE 200
NOBLESVILLE, IN
46060-4370

Practice Phone: 317-578-4193
Practice Fax:

Directions to “INDIANA HEART HOSPITAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.