Masimore, Gregory Scott

Masimore, Gregory Scott is an sole proprietor health care provider with primary practice located at 730 Executive Park Dr Ste A , Greenwood IN 46143-3213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Masimore, Gregory Scott can be contacted via phone (317) 346-7246.

Contact Information

Primary practice address
730 Executive Park Dr Ste A Greenwood IN 46143-3213
Phone: (317) 346-7246
Fax: (317) 543-3763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01042621A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01042621A Indiana

Profile Details

NPI number 1104878982
LBN Legal business name Masimore, Gregory Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Dec 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104878982 NPPES
Indiana Other 000000476069 SIA ANTHEM
Indiana MEDICAID 200816430 SIA ANTHEM

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