MEDICARE: MR. PETER JOSEPH GINDLING NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	71013375A	IN
2	363LF0000X	Family Nurse Practitioner	71013375A	IN
3	163WC0200X	Critical Care Medicine Registered Nurse	28225726A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023726106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER JOSEPH GINDLING NP

Provider Business Mailing Address
First Line	:	8003 CASTLEWAY DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1946
Country	:	US
Telephone Number	:	317-576-1335
Fax Number	:	317-343-6562

Provider Business Practice Location Address
First Line	:	8003 CASTLEWAY DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1946
Country	:	US
Telephone Number	:	317-576-1335
Fax Number	:	317-343-6562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	12/15/2025

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