DR. STACEY ELAINE TARVIN M.D. NPI 1639380769

NPI Information

DR. Stacey Elaine Tarvin, M.D. is a pediatric rheumatology pediatrics in Indianapolis, IN. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Stacey Elaine Tarvin, M.D. NPI is 1639380769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

699 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202-119
Phone: (317) 274-2172
Fax: (317) 278-3031

The NPI 1639380769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 11/19/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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