Healthcare Provider Details

I. General information

NPI: 1326508235
Provider Name (Legal Business Name): BARRETT ETHAN SCHWARTZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13345 ILLINOIS ST
CARMEL IN
46032-3318
US

IV. Provider business mailing address

1879 LIMEHOUSE ST
CARMEL IN
46032-7212
US

V. Phone/Fax

Practice location:
  • Phone: 317-396-1300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number01097897A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: