MEDICARE: RONALD P BURWINKEL 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	207RP1001X	Pulmonary Disease Physician	01051393A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00845898	OTHER	IN	RAILROAD MEDICARE

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821099946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD P BURWINKEL M.D.

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST
Second Line	:	STE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-3908
Country	:	US
Telephone Number	:	317-962-4942
Fax Number	:	317-962-4950

Provider Business Practice Location Address
First Line	:	11725 ILLINOIS STREET
Second Line	:	SUITE 465
City	:	CARMEL
State	:	IN
Zip	:	46032-3010
Country	:	US
Telephone Number	:	317-817-0010
Fax Number	:	317-817-0012

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	10/18/2010

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Directions to “ RONALD P BURWINKEL M.D.” Practice Location

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