M. D. HEALTHCARE LLC NPI 1639358641

NPI Information

  • NPI: 1639358641
  • Provider Name: M. D. HEALTHCARE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6920 PARKDALE PL
    SUITE 208
    INDIANAPOLIS, IN
    ZIP 46254
  • Phone: (317) 610-3003

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NPI Details

M. D. HEALTHCARE, LLC is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. M. D. HEALTHCARE, LLC NPI is 1639358641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6920 PARKDALE PL
SUITE 208
INDIANAPOLIS, IN
ZIP 46254-612
Phone: (317) 610-3003
Fax: (317) 610-3005

The provider's authorized official is Mark Kevin Stine .
The authorized official title is Owner/physician and has the following contact phone number (317) 610-3003.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 3/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine01030274AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1229510AOTHERINDIANAINDIVIDUAL MEDICARE PIN
2C25776MEDICARE UPININDIANA
31316942303OTHERINDIANAINDIVIDUAL NPI
4229510MEDICARE PININDIANA
5100330510BMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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