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NPI Code Detail

MEDICARE: DR. PAUL ANTHONY FRASCELLA D.O.

MEDICARE: DR. PAUL ANTHONY FRASCELLA D.O.
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
1207W00000XOphthalmology Physician02001543IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180017836OTHERINRAILROAD MEDICARE

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 : 1417951377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ANTHONY FRASCELLA D.O.
Provider Business Mailing Address
First Line : 2020 W 86TH ST
Second Line : STE 200
City : INDIANAPOLIS
State : IN
Zip : 46260-1931
Country : US
Telephone Number : 317-871-5900
Fax Number : 317-872-6439
Provider Business Practice Location Address
First Line : 2020 W 86TH ST
Second Line : STE 200
City : INDIANAPOLIS
State : IN
Zip : 46260-1931
Country : US
Telephone Number : 317-871-5900
Fax Number : 317-872-6439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 01/03/2008

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