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NPI Code Detail

MEDICARE: CYNDI A SPEELMAN MD

MEDICARE: CYNDI A SPEELMAN MD
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 Physician01048967IN

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 : 1871597542
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNDI A SPEELMAN MD
Provider Business Mailing Address
First Line : 1100 SOUTHFIELD DR
Second Line : SUITE 1370
City : PLAINFIELD
State : IN
Zip : 46168-4498
Country : US
Telephone Number : 317-837-5571
Fax Number : 317-837-5580
Provider Business Practice Location Address
First Line : 8244 E US HIGHWAY 36 STE 1310
Second Line :
City : AVON
State : IN
Zip : 46123-9627
Country : US
Telephone Number : 317-838-3955
Fax Number : 317-718-2955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 03/12/2021

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Directions to “ CYNDI A SPEELMAN MD” Practice Location

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