| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376501015 | BOYER | DAN | J | 3203 MIDDLE RD | COLUMBUS | IN | 472034427 | |
| 1710955596 | FORD | RICHARD | D | 3203 MIDDLE ROAD | COLUMBUS | IN | 472034427 | |
| 1831198688 | SIMON | KATHLEEN | ANN | 3203 MIDDLE ROAD | COLUMBUS | IN | 472034427 |