Healthcare Provider Details

I. General information

NPI: 1922071638
Provider Name (Legal Business Name): INDIANA GERIATRIC ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 TWINSHORE CT
CARMEL IN
46033-3642
US

IV. Provider business mailing address

38 TWINSHORE CT
CARMEL IN
46033-3642
US

V. Phone/Fax

Practice location:
  • Phone: 317-566-9904
  • Fax:
Mailing address:
  • Phone: 317-566-9904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN J. WERNERT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 317-566-9905