MEAGHAN STUTESMAN


Address: 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052
Phone: 3173551234

MEAGHAN STUTESMAN (NPI# 1316312275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316312275
Entity Type Individual
Full Name MEAGHAN STUTESMAN
Practice Address 1400 N Ritter Ave
Suite 520
Indianapolis
IN 46219-3052
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2890
Practice Telephone 3173551234
Practice Fax Number 3173551505
Enumeration Date 2015-12-03
Last Update Date 2016-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28181093A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71006041A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201343740 05
IN MEDICARE RAILROAD PTAN P01678746 01

Office Location

Street Address 1400 N RITTER AVE
SUITE 520
City INDIANAPOLIS
State IN
Zip Code 46219-3052

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NPI Name Taxonomy Address Enumeration
1174527691 Charles Brian Quick Internal Medicine 1400 N Ritter Ave, Suite 375b, Indianapolis, IN 46219-3052 2005-06-13
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1962956789 Stacie Cole Physician Assistant 1400 N Ritter Ave, Ste 375b, Indianapolis, IN 46219-3052 2016-08-10
1326494352 Courtney Etherington Registered Nurse 1400 N Ritter Ave, Suite 375, Indianapolis, IN 46219-3052 2016-05-09
1699158824 Cara Yobbi Genetic Counselor, MS 1400 N Ritter Ave, Suite 485, Indianapolis, IN 46219-3052 2015-07-07
1760805949 Kaitlin Jasmon Physician Assistant 1400 N Ritter Ave, Suite 375b, Indianapolis, IN 46219-3052 2014-01-24
1780020750 Kathryn Ann Kennedy Registered Nurse 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 2013-05-17
1891131116 Dessie M Vetter Nurse Practitioner 1400 N Ritter Ave, Suite 431, Indianapolis, IN 46219-3052 2013-05-14
1396083028 Community Physicians of Indiana Inc Orthopaedic Surgery 1400 N Ritter Ave, Suite 351, Indianapolis, IN 46219-3049 2013-01-31
1053659078 Community Physicians of Indiana Inc Orthopaedic Surgery 1400 N Ritter Ave, Suite 510, Indianapolis, IN 46219-3025 2013-01-25
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NPI Name Taxonomy Address Enumeration
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1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
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1992197289 Casey Baker Physician Assistant 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 2015-02-24
1811398407 Adam Romesser Pharmacist 8907 E. 10th St., Indianapolis, IN 46219 2014-09-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46219

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Dataset Information

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.

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