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INDIANA PELVIC PAIN SPECIALISTS PC NPI 1073257291


NPI Information

NPI: 1073257291
Provider Name: INDIANA PELVIC PAIN SPECIALISTS PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 15D2261226

Address:
985 DORMAN ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 288-1763
Get Directions

INDIANA PELVIC PAIN SPECIALISTS PC is an obstetrics gynecology in Indianapolis, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. INDIANA PELVIC PAIN SPECIALISTS PC NPI is 1073257291. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

985 DORMAN ST
INDIANAPOLIS, IN
ZIP 46202-570
Phone: (317) 288-1763
Fax: (816) 208-9047

The provider's authorized official is Amy Dawn Medley .
The authorized official title is Vice President and has the following contact phone number (812) 891-3216.

The CLIA number assigned to this NPI record is 15D2261226 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 1/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryNo
2225100000XPhysical TherapistNo
3207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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