MEDICARE: THOMAS TRANCIK, M.D., L.L.C.

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	207X00000X	Orthopaedic Surgery Physician	01058142A	IN

General Provider Information

NPI Number	:	1831387265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS TRANCIK, M.D., L.L.C.

Provider Business Mailing Address
First Line	:	13400 N MERIDIAN ST
Second Line	:	SUITE 392
City	:	CARMEL
State	:	IN
Zip	:	46032-7102
Country	:	US
Telephone Number	:	317-582-8610
Fax Number	:	317-582-8616

Provider Business Practice Location Address
First Line	:	13400 N MERIDIAN ST
Second Line	:	SUITE 392
City	:	CARMEL
State	:	IN
Zip	:	46032-7102
Country	:	US
Telephone Number	:	317-582-8610
Fax Number	:	317-582-8616

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS TRANCIK
Credential	:	M.D.
Telephone Number	:	317-582-8610

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

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