| NPI | 1609806470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MUCKERHEIDE Controller 317-468-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 70000074A) |
| 163W00000X Registered Nurse (Licence: IN 28075482A) | |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01061823A) | |
| 208600000X Surgery (Licence: IN 01062448A) | |
| 208M00000X Hospitalist (Licence: IN 01064501A) | |
| 208M00000X Hospitalist (Licence: IN 01052168A) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-03-07 |