Grand Old Docs Of The Southside in Indianapolis - Family Medicine
Grand Old Docs Of The Southside - NPI 1942396890
Grand Old Docs Of The Southside is a Family Medicine in Indianapolis, Indiana. Grand Old Docs Of The Southside practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Grand Old Docs Of The Southside is 1942396890. The last update date is 2008-09-10.
Grand Old Docs Of The Southside's current location address is 1350 E County Line Rd, Indianapolis, Indiana. You can contact this provider via phone number 3178827344 and fax number 3178824793. The mailing address for Grand Old Docs Of The Southside is 1350 E County Line Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Old Docs Of The Southside |
|---|---|
| Address | 1350 E County Line Rd, Indianapolis, Indiana |
| Phone Number | 3178827344 |
| Fax Number | 3178824793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Duggan E Donald |
| Credentials | MD |
| Telephone Number | 3178827344 |
NPI Number Detail
| NPI Number | 1942396890 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | 1350 E County Line Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462270873 |
| Phone Number | 3178827344 |
| Fax Number | 3178824793 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CI4722 | IN | GROUP RR MEDICARE NUMBER | |
| 5457630004 | IN | DME |
Post Comment/ Review Below
What is the unique identifier code issued to Grand Old Docs Of The Southside by the Centers for Medicare & Medicaid Services?
The Grand Old Docs Of The Southside has been assigned the NPI (National Provider Identifier) 1942396890. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grand Old Docs Of The Southside?
The Grand Old Docs Of The Southside is physically situated at 1350 E County Line Rd, in the city of Indianapolis, state of IN, with the postal code 462270873.
What is Grand Old Docs Of The Southside's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Grand Old Docs Of The Southside is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Grand Old Docs Of The Southside receive its 1942396890 assignment from the Centers for Medicare & Medicaid Services?
The Grand Old Docs Of The Southside was assigned its 1942396890 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Grand Old Docs Of The Southside, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grand Old Docs Of The Southside, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-10.
NPI Number: 1932102142
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