Healthcare Provider Details

I. General information

NPI: 1770494163
Provider Name (Legal Business Name): MORNING STAR PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 LIBRARY PARK DR STE I
GREENWOOD IN
46142-1578
US

IV. Provider business mailing address

633 LIBRARY PARK DR STE I
GREENWOOD IN
46142-1578
US

V. Phone/Fax

Practice location:
  • Phone: 317-943-7917
  • Fax:
Mailing address:
  • Phone: 317-943-7917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARGARET DUGAN WORKMAN
Title or Position: MEMBER
Credential: MD
Phone: 317-943-7917