Healthcare Provider Details

I. General information

NPI: 1790083962
Provider Name (Legal Business Name): MAJOR MULTISPECIALTY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 WEST BASSETT ROAD SUITE 3
SHELBYVILLE IN
46176-8575
US

IV. Provider business mailing address

275 W BASSETT RD STE 3
SHELBYVILLE IN
46176-8575
US

V. Phone/Fax

Practice location:
  • Phone: 317-421-3265
  • Fax:
Mailing address:
  • Phone: 317-421-3265
  • Fax: 317-398-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN CLAXTON
Title or Position: CEO
Credential:
Phone: 317-392-3211