Healthcare Provider Details

I. General information

NPI: 1548956253
Provider Name (Legal Business Name): COLTON HOUCHIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IU HEALTH METHODIST 1701 N SENATE BLVD
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

IU HEALTH METHODIST HOSPITAL 1701 N SENATE BLVD AG012
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-5975
  • Fax:
Mailing address:
  • Phone: 317-962-5975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01097575A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: