Matthew R. Wanner in Indianapolis - Diagnostic Radiology
Matthew R. Wanner - NPI 1134142300
Matthew R. Wanner is a Diagnostic Radiology in Indianapolis, Indiana. Matthew R. Wanner practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Matthew R. Wanner is 1134142300. The last update date is 2021-02-19.
Matthew R. Wanner's current location address is 250 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 3177156402. The mailing address for Matthew R. Wanner is 250 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew R. Wanner |
|---|---|
| Address | 250 N Shadeland Ave, Indianapolis, Indiana |
| Phone Number | 3177156402 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134142300 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 250 N Shadeland Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462194959 |
| Phone Number | 3177156402 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1055281 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00319271 | IN | RAILROAD MEDICARE | |
| 200526920 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Matthew R. Wanner by the Centers for Medicare & Medicaid Services?
The Matthew R. Wanner has been assigned the NPI (National Provider Identifier) 1134142300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Matthew R. Wanner?
The Matthew R. Wanner is situated at 250 N Shadeland Ave, in the city of Indianapolis, state of IN, with the zip code 462194959.
What is the area of specialization for Matthew R. Wanner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew R. Wanner is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did Matthew R. Wanner receive its 1134142300 assignment from the Centers for Medicare & Medicaid Services?
The Matthew R. Wanner was assigned its 1134142300 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Matthew R. Wanner most recently updated or revised?
The details related to Matthew R. Wanner, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-19.