Healthcare Provider Details

I. General information

NPI: 1144301482
Provider Name (Legal Business Name): LAUREL BAILEY FICK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREL JEAN BAILEY M.D.

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9525 N MERIDIAN ST
INDIANAPOLIS IN
46260-1310
US

IV. Provider business mailing address

9525 N MERIDIAN ST
INDIANAPOLIS IN
46260-1310
US

V. Phone/Fax

Practice location:
  • Phone: 463-263-9184
  • Fax: 317-659-9390
Mailing address:
  • Phone: 463-263-9184
  • Fax: 317-659-9390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01066573A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: