Healthcare Provider Details

I. General information

NPI: 1679785570
Provider Name (Legal Business Name): SCOTT W SCHACHINGER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8081 TOWNSHIP LINE RD STE 203
INDIANAPOLIS IN
46260-2189
US

IV. Provider business mailing address

8081 TOWNSHIP LINE RD STE 203
INDIANAPOLIS IN
46260-2189
US

V. Phone/Fax

Practice location:
  • Phone: 317-415-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101017072
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.010569
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number34.010569
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number5101017072
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number02008184A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: