Healthcare Provider Details

I. General information

NPI: 1912833328
Provider Name (Legal Business Name): ASCENSION MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E BOYD AVE STE 201
GREENFIELD IN
46140-2818
US

IV. Provider business mailing address

300 E BOYD AVE STE 201
GREENFIELD IN
46140-2818
US

V. Phone/Fax

Practice location:
  • Phone: 317-462-5112
  • Fax: 317-462-2679
Mailing address:
  • Phone: 317-462-5112
  • Fax: 317-462-2679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON JAYROE
Title or Position: CARDIOLOGIST
Credential: MD
Phone: 317-462-5112