Stephen J. Massicotte, M.D., P.C.

LBN: Stephen J. Massicotte, M.D., P.C.
Stephen J. Massicotte, M.D., P.C. is an health care organization with primary practice located at 3955 Eagle Creek Pkwy Suite C, Indianapolis IN 46254-5615. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Stephen J. Massicotte, M.D., P.C. can be contacted via phone (317) 280-8410, or through Massicotte, Stephen John via phone (317) 280-8410.

Contact Information

Primary practice address
3955 Eagle Creek Pkwy Suite C Indianapolis IN 46254-5615
Phone: (317) 280-8410
Fax: (317) 280-8414
Website:
Map and Directions
Authorized official contact:
Name: Massicotte, Stephen John Doctor of Medicine (MD)
Phone: (317) 280-8410

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01039382A Indiana

Profile Details

NPI number 1043353907
LBN Legal business name Stephen J. Massicotte, M.D., P.C.
DBA Doing business as
Authorized official Massicotte, Stephen John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 26th, 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 1043353907 NPPES
Indiana MEDICAID 100177550

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