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FAMILY MEDICINE OF INDIANA NPI 1336368810


NPI Information

NPI: 1336368810
Provider Name: FAMILY MEDICINE OF INDIANA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9640 N AUGUSTA DR
SUITE 413
CARMEL, IN
ZIP 46032
Phone: (317) 334-1900
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FAMILY MEDICINE OF INDIANA is a family medicine in Carmel, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE OF INDIANA NPI is 1336368810. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9640 N AUGUSTA DR
SUITE 413
CARMEL, IN
ZIP 46032-600
Phone: (317) 334-1900
Fax: (317) 334-1901

The provider's authorized official is Millicent D. Moye .
The authorized official title is Ceo and has the following contact phone number (317) 334-1900.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 6/6/2008.


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
1207Q00000XFamily Medicine01059510AINDIANAYes

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
1I28067MEDICARE UPIN
2100143130MEDICAIDINDIANA
3466980RMEDICARE PIN
4000000521092OTHERINDIANAANTHEM

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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