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MARYELLEN E GUSIC MD NPI 1760432397


NPI Information

NPI: 1760432397
Provider Name: MARYELLEN E GUSIC, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
705 RILEY HOSPITAL DR
SUITE 1300
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-2801
Get Directions

Maryellen E Gusic, MD is a pediatrics in Indianapolis, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Maryellen E Gusic, MD NPI is 1760432397. 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:

705 RILEY HOSPITAL DR
SUITE 1300
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-2801
Fax: (317) 944-5630

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/30/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD053599LPENNSYLVANIANo
2208000000XPediatrics01069711AINDIANAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F68973MEDICARE UPIN
20014850040010MEDICAIDPENNSYLVANIA
3201055470MEDICAIDINDIANA
4068010015MEDICARE PININDIANA
5527574MEDICARE PINPENNSYLVANIA

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: 4/28/2024

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