Healthcare Provider Details

I. General information

NPI: 1770876658
Provider Name (Legal Business Name): ERIN VOSS MCDONALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN LINSEY VOSS MD

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12174 N MERIDIAN ST STE 300
CARMEL IN
46032-4578
US

IV. Provider business mailing address

12174 N MERIDIAN ST STE 300
CARMEL IN
46032-4578
US

V. Phone/Fax

Practice location:
  • Phone: 317-688-9000
  • Fax: 317-680-9900
Mailing address:
  • Phone: 317-688-9000
  • Fax: 317-680-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number173137
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number38376
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number01078018A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01078018A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: