INDIANAPOLIS PERIOPERATIVE MEDICINE NPI 1720539075

NPI Information

NPI: 1720539075
Provider Name: INDIANAPOLIS PERIOPERATIVE MEDICINE
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
13000 E 136TH ST
STE. 1100
FISHERS, IN
ZIP 46037
Phone: (317) 513-0538
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INDIANAPOLIS PERIOPERATIVE MEDICINE is a medical physician assistant in Fishers, IN. INDIANAPOLIS PERIOPERATIVE MEDICINE NPI is 1720539075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13000 E 136TH ST
STE. 1100
FISHERS, IN
ZIP 46037-478
Phone: (317) 513-0538

The provider's authorized official is Peter Caccavallo .
The authorized official title is Internal Medicine Physician and has the following contact phone number (317) 513-0538.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

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
1	363AM0700X	Physician Assistant	Medical	10002130A	INDIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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