MEDICARE: MICHAEL W METHOD M.D.

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	207VX0201X	Gynecologic Oncology Physician	4301075354	MI
2	207VX0201X	Gynecologic Oncology Physician	01049875A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01751328	OTHER	IN	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1437153913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL W METHOD M.D.

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	STE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7979 N SHADELAND AVE
Second Line	:	STE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2042
Country	:	US
Telephone Number	:	317-621-3780
Fax Number	:	317-621-3088

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/03/2017

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Directions to “ MICHAEL W METHOD M.D.” Practice Location

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