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NPI Code Detail

MEDICARE: DR. PATRICK J ENRIGHT MD

MEDICARE: DR. PATRICK J ENRIGHT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01029452AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417934829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK J ENRIGHT MD
Provider Business Mailing Address
First Line : 1040 SIERRA DR STE 400
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-7241
Country : US
Telephone Number : 317-528-4800
Fax Number :
Provider Business Practice Location Address
First Line : 2030 CHURCHMAN AVE
Second Line :
City : BEECH GROVE
State : IN
Zip : 46107-1044
Country : US
Telephone Number : 317-786-9285
Fax Number : 317-781-2793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 03/17/2021

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