Healthcare Provider Details

I. General information

NPI: 1790843852
Provider Name (Legal Business Name): GERALD R YARNELL MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 E NATIONAL AVENUE
INDIANAPOLIS IN
46227-1216
US

IV. Provider business mailing address

468 E NATIONAL AVENUE
INDIANAPOLIS IN
46227-1216
US

V. Phone/Fax

Practice location:
  • Phone: 317-786-4341
  • Fax: 317-783-7043
Mailing address:
  • Phone: 317-786-4341
  • Fax: 317-783-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01022396A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01022396A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01022396A
License Number StateIN

VIII. Authorized Official

Name: GERALD R YARNELL
Title or Position: OWNER
Credential: MD
Phone: 317-786-4341