Old Schoolhouse Pediatrics

LBN: Lake Pediatrics Pc
Old Schoolhouse Pediatrics is an health care organization with primary practice located at 373 Meridian Parke Ln Ste. E, Greenwood IN 46142-9420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lake Pediatrics Pc can be contacted via phone (317) 893-2364, or through Lake, Marjorie E via phone (317) 893-2364.

Contact Information

Primary practice address
373 Meridian Parke Ln Ste. E Greenwood IN 46142-9420
Phone: (317) 893-2364
Fax: (317) 851-8066
Website:
Map and Directions
Authorized official contact:
Name: Lake, Marjorie E Doctor of Medicine (MD)
Phone: (317) 893-2364

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1619114097
LBN Legal business name Lake Pediatrics Pc
DBA Doing business as Old Schoolhouse Pediatrics
Authorized official Lake, Marjorie E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2009
Last updated Mar 26th, 2013 - 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 1619114097 NPPES
Indiana MEDICAID 200928110A
Indiana Other 50005045A

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