DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EXTENDED CARE MEDICAL DOCTORS

MEDICARE: EXTENDED CARE MEDICAL DOCTORS
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
1207R00000XInternal Medicine Physician
2207RE0101XEndocrinology, Diabetes & Metabolism Physician
3207RE0101XEndocrinology, Diabetes & Metabolism PhysicianIN
4207R00000XInternal Medicine PhysicianIN

General Provider Information

NPI Number : 1801399100
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXTENDED CARE MEDICAL DOCTORS
Provider Business Mailing Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10475 CROSSPOINT BLVD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-3387
Country : US
Telephone Number : 317-813-5047
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : M M NOOR US SHAMS
Credential :
Telephone Number : 346-208-2408
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/13/2018

Similar Medicare Providers

1528909116 — MACKENZIE REYNOLDS
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 462-205-0087
Practice Fax: 462-205-0087
1033591086 — JACOB SHOPP MD
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 657-237-2450
Practice Fax:
1447715032 — ANDREE M ODELL NP
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 615-436-9060
Practice Fax: 615-235-9735
1295388569 — THERESA JONES
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 765-621-6670
Practice Fax:
1124677901 — KIMBERLY VALENTINE
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 765-621-6670
Practice Fax:
1326684283 — LINDSAY MICHAELS
Practice Location Address:
10475 CROSSPOINT BLVD STE 250
INDIANAPOLIS, IN
46256-3387
Practice Phone: 765-621-6670
Practice Fax:

Directions to “EXTENDED CARE MEDICAL DOCTORS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.