MARY GREENWALT


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

MARY GREENWALT (NPI# 1417475450) 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) 1417475450
Entity Type Individual
Full Name MARY GREENWALT
Practice Address 1400 N Ritter Ave Ste 520
Indianapolis
IN 46219-3052
Mailing Address 6626 E 75th St Ste 500
Indianapolis
IN 46250-2890
Practice Telephone 3173551234
Enumeration Date 2017-08-30
Last Update Date 2017-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28145063A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71007479A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

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

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689860819 Mohammad M Marashdeh Internal Medicine 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 2007-09-20
1821635111 Kristen Michelle Howard Registered Nurse 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 2019-12-05
1740786243 Kirk Meyers Registered Nurse 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 2018-04-03
1326391723 Matthew P Scherschel Physician Assistant 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 2012-10-23
1710286984 Aaron Joel Burg Internal Medicine 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 2011-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1073151239 Tanicka Elizabeth Word Behavior Technician 6635 E 21st Street, West Building, Indianapolis, IN 46219 2019-12-18
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1336645985 Lynell Westbrook Gates Counselor 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 2018-04-03
1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
1467811570 Fresenius Medical Care Indiana, LLC Clinic/Center 6701 E 21st St, Indianapolis, IN 46219 2016-02-17
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
1225448673 Justin Stauffer Pharmacist 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 2014-05-06
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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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NPI Name Taxonomy Address Enumeration
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1255956272 Heather Nicole Zore Nurse Practitioner 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 2020-06-15
1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
1457975740 Ayee Teah Bleemie Nurse Practitioner 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 2020-06-02
1689294357 May Josefa Ishikawa Nurse Practitioner 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 2020-04-22
1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
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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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