CAROL K FOSSO (NPI# 1356332001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356332001 |
| Entity Type | Individual |
| Full Name | CAROL K FOSSO |
| Other Name | DR. CAROL K FOSSO |
| Credential | MD |
| Practice Address |
70 E 91st St Ste 204 Indianapolis IN 46240-1564 |
| Practice Telephone | 3178724213 |
| Practice Fax Number | 3178726388 |
| Mailing Telephone | 3178724213 |
| Mailing Fax Number | 3178726388 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
1037197 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100132220 | 05 |
| Street Address |
70 E 91ST ST STE 204 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46240-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104926294 | Allergy and Asthma Specialists | Specialist | 70 E 91st St Ste 204, Indianapolis, IN 46240-1564 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1720507999 | Refractive Surgery Professionals LLC | Clinic/Center | 8500 Keystone Xing Ste 150, Indianapolis, IN 46240 | 2017-09-19 |
| 1184148892 | Hannah Hoyt | Specialist/Technologist | 9504 N. Washington Blvd, Indianapolis, IN 46240 | 2017-08-03 |
| 1134657455 | Donann Kissick | Speech-Language Pathologist | 450 E 96th St., Suite 500, Indianapolis, IN 46240 | 2017-05-31 |
| 1992138804 | George Byington Pratt IIi | Radiology | 9015 Crystal Lake Drive, Indianapolis, IN 46240 | 2013-08-14 |
| 1871934513 | Kayla Harpenau | Occupational Therapist | 7405 Westfield Blvd, Indianapolis, IN 46240 | 2013-07-10 |
| 1235483835 | Christina Marie Wilson | Nurse Practitioner | 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 | 2012-11-04 |
| 1770850927 | Holly Bergeron | Pharmacist | 1505 E 86th Street, Indianapolis, IN 46240 | 2011-11-16 |
| 1104128214 | Meghan Kyle Fricke | Physician Assistant | 860 E 86th St Ste 4, Indianapolis, IN 46240 | 2010-11-22 |
| 1689901118 | Katherine Jane Russell | Audiologist | 2001 W. 86th St., Indianapolis, IN 46240 | 2009-11-04 |
| Find all providers in zip 46240 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697759 | Allergy Associates of Central In | Allergy & Immunology | 8803 N Meridian St, Suite 100, Indianapolis, IN 46260-5300 | 2006-07-09 |
| 1093748253 | Allergy Associates of Central In LLC | Allergy & Immunology | 3266 N Meridian St, Suite 900, Indianapolis, IN 46208-5846 | 2006-07-09 |
| 1427023423 | Mark Holbreich | Allergy & Immunology | 8902 N Meridian St, Ste. 100, Indianapolis, IN 46260-5382 | 2006-02-22 |
| 1508848433 | Mason R Goodman | Allergy & Immunology | 8424 Naab Rd Ste 1h, Indianapolis, IN 46260-1954 | 2005-11-16 |
| 1538140389 | Liang Yeh Frank Wu | Allergy & Immunology | 8402 Harcourt Rd, #606, Indianapolis, IN 46260-2074 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801027099 | Central Indiana Allergy LLC | Allergy & Immunology | 965 Emerson Pkwy Ste B, Greenwood, IN 46143-6274 | 2009-08-05 |
| 1700930252 | Sai R Karlapudi | Allergy & Immunology | 4505 N Wheeling Ave, Muncie, IN 47304-1284 | 2007-01-22 |
| 1962445528 | Sanjay C Patel | Allergy & Immunology | 9008 Indianapolis Blvd, Highland, IN 46322-2501 | 2006-06-13 |
| 1134184153 | David George Short | Allergy & Immunology | 1025 Michigan Avenue, Suite 215, Logansport, IN 46947-1594 | 2006-04-20 |
| 1285601278 | Nagarjuna R Ponugoti | Allergy & Immunology | 4779 S 7th St, Terre Haute, IN 47802-4559 | 2006-03-08 |
| 1558336230 | Damir Matesic | Allergy & Immunology | 2216 W Alto Rd, Kokomo, IN 46902-4840 | 2006-02-17 |
| 1982605937 | Peter M Rothman | Allergy & Immunology | 7920 W Jefferson Blvd, Suite 220, Fort Wayne, IN 46804 | 2005-08-02 |
| 1063413052 | Naresh J Patel | Allergy & Immunology | 7964 W. Jefferson Blvd., Fort Wayne, IN 46804-4140 | 2005-08-02 |
| 1922001007 | David L Patterson | Allergy & Immunology | 14540 Prairie Lakes Blvd N, Suite 207, Noblesville, IN 46060-4366 | 2005-05-23 |
| 1932575420 | Franciscan Medical Specialists | Allergy & Immunology | 757 45th Ave, Ste 201, Munster, IN 46321 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46240 |
Please comment or provide details below to improve the information on CAROL K FOSSO.
| 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.