MEDICARE: DR. KAREN SCHARENBERG AMSTUTZ M.D., M.B.A.

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	208000000X	Pediatrics Physician	01041864	IN
2	208000000X	Pediatrics Physician	01041864A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01041864	OTHER	IN	INDIANA MEDICAL LICENSE
2	71117	OTHER	MA	MEDICAL LICENSE, EXPIRED

General Provider Information

NPI Number	:	1407983976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN SCHARENBERG AMSTUTZ M.D., M.B.A.

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 N MERIDIAN ST STE 1000
Second Line	:	MP IN040L-0003
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1045
Country	:	US
Telephone Number	:	317-287-2039
Fax Number	:	317-287-2621

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	03/07/2023

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