MEDICARE: ELISABETH VON DER LOHE M.D.

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
1	207RI0011X	Interventional Cardiology Physician	01042934A	IN
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	01042934A	IN
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01042934A	IN
4	207RC0000X	Cardiovascular Disease Physician	01042934A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000778842	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1760447270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH VON DER LOHE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 637764
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7764
Country	:	US
Telephone Number	:	317-880-3939
Fax Number	:	317-880-0343

Provider Business Practice Location Address
First Line	:	1801 N SENATE BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1228
Country	:	US
Telephone Number	:	317-944-8660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	12/11/2025

Similar Medicare Providers

1063973063 — NATALIA REBORIDO CAMPOY MD
Practice Location Address:

1801 N SENATE BLVD
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-962-0527
Practice Fax:

1851472260 — ZIAD ADNAN JARADAT MD
Practice Location Address:

1801 N SENATE BLVD , KIC-SUITE 4000
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-962-0561
Practice Fax: 317-962-0566

1407871304 — GILBERT T. HEROD M.D.
Practice Location Address:

1801 SENATE BLVD , SUITE 755
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-923-1787
Practice Fax: 317-583-7601

1659378149 — DOUGLAS JOHNSTONE
Practice Location Address:

1801 N SENATE BLVD , SUITE 355
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-924-8420
Practice Fax: 317-924-8424

1134126618 — MARY A MARGOLIS M.D.
Practice Location Address:

1801 N SENATE BLVD , SUITE 355
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-924-8420
Practice Fax: 317-924-8424

1093712739 — RICHARD BLOCH M.D.
Practice Location Address:

1801 N SENATE BLVD , SUITE 355
INDIANAPOLIS, IN
46202-1228

Practice Phone: 317-924-8425
Practice Fax: 317-924-8424

Directions to “ ELISABETH VON DER LOHE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.