INDIANA PEDIATRIC PATHOLOGY INSTITUTE INC (NPI# 1790929669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790929669 |
| Entity Type | Organization |
| Organization Name | INDIANA PEDIATRIC PATHOLOGY INSTITUTE INC |
| Practice Address |
635 Barnhill Dr # A128 Indianapolis IN 46202-5126 |
| Mailing Address |
635 Barnhill Dr A128 Indianapolis IN 46202-5126 |
| Practice Telephone | 3172744806 |
| Mailing Telephone | 3172744806 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | JOHN EBLE (PRESIDENT) |
| Authorized Official Telephone | 3172744806 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
635 BARNHILL DR # A128 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828684 | Simon John Warren | Specialist | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2006-02-02 |
| 1891927026 | Andrew T Nord | Physician Assistant | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2009-08-21 |
| 1669648408 | Rong Fan | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2008-05-01 |
| 1538335377 | Mehdi Nassiri | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2008-05-01 |
| 1023280948 | Darin L Wolfe | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2008-04-01 |
| 1285848671 | Muhammad Talha Idrees | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2007-05-09 |
| 1962599431 | Meredith Hull | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2006-10-06 |
| 1891896346 | Dean Alan Hawley | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2006-09-26 |
| 1982641403 | David John Grignon | Pathology | 635 Barnhill Dr # A128, Indianapolis, IN 46202-5126 | 2006-06-01 |
| 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 | 207ZP0213X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Pediatric Pathology |
| A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300126 | Danyel Kay Wilson | Pathology | 4870 E Jackson St, Muncie, IN 47303-4432 | 2019-01-14 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on INDIANA PEDIATRIC PATHOLOGY INSTITUTE INC.
| 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.