Healthcare Provider Details

I. General information

NPI: 1235424862
Provider Name (Legal Business Name): NICHOLAS DAVID VORNEHM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NICK VORNEHM MD

II. Dates (important events)

Enumeration Date: 06/11/2011
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 W JEFFERSON ST STE 102
FRANKLIN IN
46131-2731
US

IV. Provider business mailing address

PO BOX 800
FRANKLIN IN
46131-0800
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-7603
  • Fax: 317-736-7932
Mailing address:
  • Phone: 317-736-3572
  • Fax: 317-736-7932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01073643A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: