WILSHIRE MEDICAL P.C. (NPI# 1164692968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692968 |
| Entity Type | Organization |
| Organization Name | WILSHIRE MEDICAL P.C. |
| Practice Address |
6820 Parkdale Pl Ste 212 Indianapolis IN 46254-6601 |
| Practice Telephone | 3173297022 |
| Practice Fax Number | 3173297031 |
| Mailing Telephone | 3173297022 |
| Mailing Fax Number | 3173297031 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DR. MARY SOPER (PRESIDENT) |
| Authorized Official Telephone | 3173297022 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100078880A | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | WILSHIRE MEDICAL PC | 6820 Parkdale Pl, Ste 212, Indianapolis, IN 46254-6600 |
| Street Address |
6820 PARKDALE PL STE 212 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603886 | Stephen F Eberwine | Internal Medicine | 6820 Parkdale Pl, Suite 200, Indianapolis, IN 46254-6601 | 2006-03-16 |
| 1114375052 | Fatema Sabri Alqudaihi | Dentist | 6820 Parkdale Pl, Indianapolis, IN 46254-6601 | 2016-06-01 |
| 1053561928 | Eagle Creek Dermatology | Dermatology | 6820 Parkdale Pl, Suite 211, Indianapolis, IN 46254-6600 | 2008-09-26 |
| 1245408111 | Kelley G Rogers | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1417125386 | Sandra K Vanwye | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1790964914 | Indiana Mothers' Milk Bank, Inc | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 109, Indianapolis, IN 46254-6601 | 2007-10-25 |
| 1184844698 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-04-26 |
| 1376668780 | American Health Network of Indiana, LLC | Psychiatry & Neurology | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-03-21 |
| 1992842363 | Samia R Shaikh- Milharcic | Dentist | 6820 Parkdale Pl, Suite 117, Indianapolis, IN 46254-6601 | 2007-02-01 |
| 1669523007 | Dawn A Collins | Marriage & Family Therapist | 6820 Parkdale Pl, Suite 209, Indianapolis, IN 46254-6601 | 2007-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417458225 | Arthur Galstian Md LLC | Obstetrics & Gynecology | 9240 N Meridian St Ste 180, Indianapolis, IN 46260-2065 | 2018-02-27 |
| 1629456017 | Elizabeth Claire Mazzone | Obstetrics & Gynecology | 1550 E County Line Rd Ste 300, Indianapolis, IN 46227 | 2015-05-18 |
| 1306231626 | Katherine Miller | Obstetrics & Gynecology | 550 N. University Blvd, Uh 2440, Dept. of Ob/gyn, Iu School of Medicine, Indianapolis, IN 46202 | 2015-04-02 |
| 1104264407 | Nabila Zambrano | Obstetrics & Gynecology | 1400 N Ritter Ave Ste 431, Indianapolis, IN 46219-3050 | 2013-06-07 |
| 1750728242 | Zenas Chang | Obstetrics & Gynecology | 535 Barnhill Dr Ste 436, Indianapolis, IN 46202-5116 | 2013-05-24 |
| 1639515620 | Patricia Walsh Rapp | Obstetrics & Gynecology | 8199 Spring Mill Rd, Indianapolis, IN 46260-2902 | 2013-05-16 |
| 1679860894 | James C Cripe | Obstetrics & Gynecology | 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250 | 2011-07-08 |
| 1265728919 | Jennifer Thompson | Obstetrics & Gynecology | 550 University Blvd Rm 2449, Indianapolis, IN 46202-5149 | 2011-06-21 |
| 1932408507 | Ashley Nicole Perkins | Obstetrics & Gynecology | 6820 Parkdale Pl Ste 212, Indianapolis, IN 46254-6600 | 2011-03-22 |
| 1821305749 | Indi-growth Group Inc | Obstetrics & Gynecology | 5351 E Thompson Rd, Ste 259, Indianapolis, IN 46237-4094 | 2010-09-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.