Indianapolis Perioperative Medicine, Llc

LBN: Indianapolis Perioperative Medicine, Llc
Indianapolis Perioperative Medicine, Llc is an health care organization with primary practice located at 13000 E 136Th St Suite 1100, Fishers IN 46037-9478. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Indianapolis Perioperative Medicine, Llc can be contacted via phone (317) 678-3585, or through Caccavallo, Peter via phone (317) 678-3585.

Contact Information

Primary practice address
13000 E 136Th St Suite 1100 Fishers IN 46037-9478
Fax: (317) 863-5084
Website:
Authorized official contact:
Name: Caccavallo, Peter Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1053181A Indiana

Profile Details

NPI number 1720285976
LBN Legal business name Indianapolis Perioperative Medicine, Llc
DBA Doing business as
Authorized official Caccavallo, Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2007
Last updated Jul 15th, 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 1720285976 NPPES
Indiana MEDICAID 200424870-A
Indiana Other DE0272

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