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NPI Code Detail

MEDICARE: DR. LOUIS LEIGH WINTERNHEIMER M.D.

MEDICARE: DR. LOUIS LEIGH WINTERNHEIMER 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
1207Q00000XFamily Medicine Physician01051367AIN

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 : 1528033107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS LEIGH WINTERNHEIMER M.D.
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10122 E 10TH ST STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-2697
Country : US
Telephone Number : 317-355-5717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 06/09/2021

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