Central Indiana Gastroenterology Group Pc

LBN: Central Indiana Gastroenterology Group Pc
Central Indiana Gastroenterology Group Pc is an health care organization with primary practice located at 2020 Meridian Street Suite 340, Anderson IN 46016-4349. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Central Indiana Gastroenterology Group Pc can be contacted via phone (765) 646-8477, or through Maier, Jon M via phone (765) 646-8477.

Contact Information

Primary practice address
2020 Meridian Street Suite 340 Anderson IN 46016-4349
Fax: (765) 649-0014
Website:
Authorized official contact:
Name: Maier, Jon M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Indiana

Profile Details

NPI number 1760576490
LBN Legal business name Central Indiana Gastroenterology Group Pc
DBA Doing business as
Authorized official Maier, Jon M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 7th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760576490 NPPES
Kentucky MEDICAID 65936270
Kentucky Other CM2269
Kentucky Other CE9088
Kentucky MEDICAID 100171370

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