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NPI Code Detail

MEDICARE: CENTRAL INDIANA ANESTHESIOLOGISTS, LLC

MEDICARE: CENTRAL INDIANA ANESTHESIOLOGISTS, LLC
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
1207L00000XAnesthesiology PhysicianIN

Other Identifiers

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

General Provider Information

NPI Number : 1063463792
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL INDIANA ANESTHESIOLOGISTS, LLC
Provider Business Mailing Address
First Line : 9899 E 126TH ST
Second Line :
City : FISHERS
State : IN
Zip : 46038-2821
Country : US
Telephone Number : 317-567-2179
Fax Number : 317-567-2191
Provider Business Practice Location Address
First Line : 8501 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2046
Country : US
Telephone Number : 317-567-2179
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOHN HASEWINKEL
Credential : MD
Telephone Number : 317-630-7525
Provider Enumeration Date : 05/15/2006
Last Update Date : 10/24/2008

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