Indiana Gastroenterology, Inc.

LBN: Indiana Gastroenterology, Inc.
Indiana Gastroenterology, Inc. is an health care organization with primary practice located at 8902 N Meridian St Ste 225, Indianapolis IN 46260-5382. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Indiana Gastroenterology, Inc. can be contacted via phone (317) 872-1161, or through Frederick, Paul K via phone (317) 872-1161.

Contact Information

Primary practice address
8902 N Meridian St Ste 225 Indianapolis IN 46260-5382
Phone: (317) 872-1161
Fax: (317) 875-3286
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Paul K Doctor of Medicine (MD)
Phone: (317) 872-1161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 50000925A Indiana

Profile Details

NPI number 1427138817
LBN Legal business name Indiana Gastroenterology, Inc.
DBA Doing business as
Authorized official Frederick, Paul K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 26th, 2012 - about 12 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 1427138817 NPPES
Indiana MEDICAID 100057780A
Indiana Other 50000925A

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