Healthcare Provider Details

I. General information

NPI: 1144807272
Provider Name (Legal Business Name): CASEY ZEUNIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY MILLER MD

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 RONALD REAGAN PKWY STE B
AVON IN
46123-6764
US

IV. Provider business mailing address

1351 RONALD REAGAN PKWY STE B
AVON IN
46123-6764
US

V. Phone/Fax

Practice location:
  • Phone: 317-948-3200
  • Fax: 317-217-2424
Mailing address:
  • Phone: 317-948-3200
  • Fax: 317-217-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01093252A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: