CHARLES WALLACE ZOLLMAN M.D. NPI 1083715510

NPI Information

NPI: 1083715510
Provider Name: CHARLES WALLACE ZOLLMAN, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
8227 NORTHWEST BLVD
SUITE 290
INDIANAPOLIS, IN
ZIP 46278
Phone: (317) 328-1100
Get Directions

Charles Wallace Zollman, M.D. is a plastic and reconstructive surgery surgery in Indianapolis, IN. The provider is a surgeon who specializes in plastic and reconstructive surgery. Charles Wallace Zollman, M.D. NPI is 1083715510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8227 NORTHWEST BLVD
SUITE 290
INDIANAPOLIS, IN
ZIP 46278-387
Phone: (317) 328-1100
Fax: (317) 334-9228

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	01023513A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B28262	MEDICARE UPIN	INDIANA
2	232190A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

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

NPI Synchronization or Removal

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