Gary W Misamore in Indianapolis - Sports Medicine
Gary W Misamore - NPI 1659324416
Gary W Misamore is a Sports Medicine in Indianapolis, Indiana. Gary W Misamore practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Gary W Misamore is 1659324416. The last update date is 2015-03-12.
Gary W Misamore's current location address is 201 Pennsylvania Parkway, Indianapolis, Indiana. You can contact this provider via phone number 3178171200 and fax number 3172081551. The mailing address for Gary W Misamore is 201 Pennsylvania Parkway, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary W Misamore |
|---|---|
| Address | 201 Pennsylvania Parkway, Indianapolis, Indiana |
| Phone Number | 3178171200 |
| Fax Number | 3172081551 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659324416 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2015-03-12 |
Provider Mailing Address Detail
| Address | 201 Pennsylvania Parkway |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462802301 |
| Phone Number | 3178171200 |
| Fax Number | 3172081551 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 01028154A |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100461060 | IN | -- | |
| 200013396 | IN | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Gary W Misamore by the Centers for Medicare & Medicaid Services?
The Gary W Misamore has been assigned the NPI (National Provider Identifier) 1659324416. 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 street address where Gary W Misamore is physically located?
The Gary W Misamore is physically situated at the following address: 201 Pennsylvania Parkway, Indianapolis, IN, 462802301.
What is the area of specialization for Gary W Misamore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary W Misamore is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
When did the Gary W Misamore receive its 1659324416?
The Gary W Misamore was issued its 1659324416 on 2006-05-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gary W Misamore most recently updated or revised?
The information pertaining to Gary W Misamore, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY