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OBSTETRICS & GYNECOLOGY OF INDIANA LLC NPI 1942290143


NPI Information

NPI: 1942290143
Provider Name: OBSTETRICS & GYNECOLOGY OF INDIANA, LLC

Former Legal Business Name: OBSTETRICS & GYNECOLOGY OF INDIANA, P.C.

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
11595 N MERIDIAN ST
SUITE 375
CARMEL, IN
ZIP 46032
Phone: (317) 575-7304
Get Directions

OBSTETRICS & GYNECOLOGY OF INDIANA, LLC is an obstetrics gynecology in Carmel, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS & GYNECOLOGY OF INDIANA, LLC NPI is 1942290143. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Obstetrics & Gynecology Of Indiana, P.c..

The provider's business location address is:

11595 N MERIDIAN ST
SUITE 375
CARMEL, IN
ZIP 46032-947
Phone: (317) 575-7304
Fax: (317) 575-7333

The provider's authorized official is Richard W. Gates .
The authorized official title is Manager and has the following contact phone number (317) 415-1000.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 2/4/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology50003837AINDIANAYes

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
1100218870MEDICAIDINDIANA

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

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