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DR HOUSECALL NPI 1073783627


NPI Information

NPI: 1073783627
Provider Name: DR HOUSECALL
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4008 E NEW YORK ST
INDIANAPOLIS, IN
ZIP 46201
Phone: (317) 645-6303
Get Directions

DR HOUSECALL is a geriatric medicine internal medicine in Indianapolis, IN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR HOUSECALL NPI is 1073783627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4008 E NEW YORK ST
INDIANAPOLIS, IN
ZIP 46201-662
Phone: (317) 645-6303
Fax: (317) 848-1922

The provider's authorized official is Timothy P. Walbridge .
The authorized official title is Owner/sole Proprietor and has the following contact phone number (317) 645-6303.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/26/2013.


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
1207RG0300XInternal MedicineGeriatric Medicine01064701AINDIANAYes

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
1M40150144MEDICARE OSCAR/CERTIFICATIONMICHIGAN
24921302MEDICAIDMICHIGAN
3I59897MEDICARE UPINMICHIGAN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.