Healthcare Provider Details

I. General information

NPI: 1508905431
Provider Name (Legal Business Name): MEREDITH CLAIRE SWEENEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH CLAIRE MCMAHON MD

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MIDDLETOWN PARK PL STE D
LOUISVILLE KY
40243-2517
US

IV. Provider business mailing address

6626 E 75TH ST STE 500
INDIANAPOLIS IN
46250-2890
US

V. Phone/Fax

Practice location:
  • Phone: 502-208-6476
  • Fax: 847-787-1655
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01071184A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number44481
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: