NICHOLAS THEODORE SEVERYN (NPI# 1366897605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366897605 |
| Entity Type | Individual |
| Full Name | NICHOLAS THEODORE SEVERYN |
| Credential | DO |
| Practice Address |
699 Riley Hospital Drive Rr 208 Indianapolis IN 46202-5119 |
| Practice Telephone | 3172744716 |
| Mailing Telephone | 3172744716 |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
02005617A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tennessee 920 Madison Ave, Suite 447, Memphis, TN 381630001 | 9012876756 |
| Street Address |
699 RILEY HOSPITAL DRIVE RR 208 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780070938 | Christopher Luke Damron | Student in an Organized Health Care Education/Training Program | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1255728903 | Sara K Kane | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-04-21 |
| 1053741751 | Riddhi Shukla | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2013-11-15 |
| 1285074724 | Katie Ann Huff | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2013-06-28 |
| 1841557253 | Alana Louise Barbato | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202 | 2012-04-23 |
| 1568729333 | Osayame Austine Ekhaguere | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202 | 2012-04-18 |
| 1578838660 | Kelsey Montgomery | Pediatrics | 8111 Township Line Rd, Indianapolis, IN 46260 | 2012-03-21 |
| 1548557507 | Alejandra Valladolid | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2011-06-28 |
| 1740572502 | Paulomi Mehta Chaudhry | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2011-05-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on NICHOLAS THEODORE SEVERYN.
| 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.