Healthcare Provider Details

I. General information

NPI: 1114142346
Provider Name (Legal Business Name): JAIME LEIGH STELZER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAIME LEIGH MORRISON

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 11/27/2023
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 MEDICAL ARTS BLVD SUITE 200
ANDERSON IN
46011-3454
US

IV. Provider business mailing address

6626 E 75TH ST SUITE 500
INDIANAPOLIS IN
46250-2890
US

V. Phone/Fax

Practice location:
  • Phone: 765-298-5439
  • Fax: 765-298-4920
Mailing address:
  • Phone: 317-621-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.092253
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50-011927
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01066466A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: