LEO T D'AMBROSIO (NPI# 1255335949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255335949 |
| Entity Type | Individual |
| Full Name | LEO T D'AMBROSIO |
| Credential | MD |
| Practice Address |
8051 S Emerson Ave Ste 350 Indianapolis IN 46237-8634 |
| Mailing Address |
6983 Hillsdale Ct Indianapolis IN 46250-2054 |
| Practice Telephone | 3178591020 |
| Practice Fax Number | 3178594040 |
| Mailing Telephone | 3178498350 |
| Mailing Fax Number | 3175766311 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01034457 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BXBS | 000000089473 | 01 |
| IN | 100129690 | 05 |
| Street Address |
8051 S EMERSON AVE STE 350 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669980280 | Corie L Connor | Registered Nurse | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2018-01-17 |
| 1083149090 | Emily M Grubb | Registered Nurse | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2017-04-27 |
| 1295980399 | John Qm Zhang | Physician Assistant | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2008-11-18 |
| 1295933349 | Kofi Dela Quist | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2007-07-10 |
| 1558337592 | Sara L Schrader | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2006-02-28 |
| 1669474631 | Gina C Davis | Registered Nurse | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2005-08-10 |
| 1598761041 | Seth H Lichtenstein | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2005-06-21 |
| 1447254008 | Jennifer M Vivio | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2005-06-10 |
| 1588668149 | Patrick E Matoole | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2005-06-10 |
| 1952305534 | Meredith W Cousin | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2005-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1720213036 | Salvatore Spina | Psychiatry & Neurology | 1345 Hine St Apt 265, Indianapolis, IN 46202-3023 | 2009-05-16 |
| 1174709562 | Neurology Indiana, LLC | Psychiatry & Neurology | 7250 Clearvista Parkway, Suite 330, Indianapolis, IN 46256 | 2008-01-15 |
| 1578769188 | Daniel Sahlein | Psychiatry & Neurology | 355 W 16th St Ste 5100, Indianapolis, IN 46202-2274 | 2007-06-22 |
| 1366650327 | Ruth Ann Baird | Psychiatry & Neurology | 575 Riley Hospital Dr, Ri 1340, Indianapolis, IN 46202-5272 | 2007-05-21 |
| 1255548558 | Marcia Victoria Felker | Psychiatry & Neurology | 705 Riley Hospital Dr Ste 1340, Riley Hospital Child Neurology, Indianapolis, IN 46202-5109 | 2007-05-17 |
| 1992910186 | Rachel Marie Pfeiffer | Psychiatry & Neurology | 545 Barnhill Drive Eh 125, Indianapolis, IN 46202 | 2007-05-11 |
| 1295881894 | Bakul Patel | Psychiatry & Neurology | 3500 Depauw Blvd Ste 2082, Indianapolis, IN 46268-1137 | 2007-01-26 |
| 1548325707 | Melissa W Ko | Psychiatry & Neurology | 355 W 16th St Ste 3200, Indianapolis, IN 46202-2280 | 2006-12-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.