JUSTIN ROSSEL KING (NPI# 1851746465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851746465 |
| Entity Type | Individual |
| Full Name | JUSTIN ROSSEL KING |
| Credential | M.D. |
| Practice Address |
1801 N Senate Blvd Mpc 2, Suite #3500 Indianapolis IN 46202 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179620265 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01083614A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11019205A | IN | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301109885 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1194231852 | Justin King | Specialist/Technologist | 700 E Mcneese St, Lake Charles, LA 70607-5832 | 2017-12-18 |
| 1740628015 | Justin Lee King | Occupational Therapist | 166 Oakland Pkwy, Leesburg, GA 31763-7200 | 2013-06-10 |
| 1619598620 | Justin M King | Physician Assistant | 102 Dunhill Pl Nw, Cleveland, TN 37311-3885 | 2020-04-30 |
| 1699304592 | Justin Rakim King | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-03 |
| 1346800398 | Justin David Isiah King | Physical Therapist | 225 Crosslake Dr, Evansville, IN 47715-8198 | 2019-06-20 |
| 1861969495 | Justin King | Case Manager/Care Coordinator | 1221 W Lakeview Ave, Pensacola, FL 32501-1857 | 2018-11-01 |
| 1811473812 | Justin David King | Pharmacist | 8001 Winchester Rd, Memphis, TN 38125-2204 | 2018-07-13 |
| 1437693389 | Justin King | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2016-12-12 |
| 1356779771 | Justin King | Psychologist | 2530 Horizon Dr, Burnsville, MN 55337-3091 | 2013-10-22 |
| Street Address |
1801 N SENATE BLVD MPC 2, SUITE #3500 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829746 | Michael B Pritz | Neurological Surgery | 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202-1291 | 2005-05-27 |
| 1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
| 1871122390 | Hanaa Dakour Aridi | Student in an Organized Health Care Education/Training Program | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-04-06 |
| 1811420862 | Julie L Brockman | Nurse Practitioner | 1801 N Senate Blvd, Suite 230, Indianapolis, IN 46202-1228 | 2017-04-06 |
| 1003351339 | Julie M Warnecke | Nurse Practitioner | 1801 N Senate Blvd, Suite 4000, Indianapolis, IN 46202-1228 | 2016-12-22 |
| 1821540444 | Stephanie A Didyk-horine | Nurse Practitioner | 1801 N Senate Blvd, Suite 4000, Indianapolis, IN 46202-1228 | 2016-10-31 |
| 1013462068 | Morgan Leigh Kinney | Nurse Practitioner | 1801 N Senate Blvd, Suite 635, Indianapolis, IN 46202-1228 | 2016-08-19 |
| 1679027171 | Allison M Weaver | Nurse Practitioner | 1801 N Senate Blvd, Ste 4000, Indianapolis, IN 46202-1228 | 2016-08-12 |
| 1134673999 | Hazem Elmansy | Urology | 1801 N Senate Blvd, Suite 220, Indianapolis, IN 46202-1228 | 2016-08-10 |
| 1083167613 | Samantha Amore | Nurse Practitioner | 1801 N Senate Blvd, Ste 230, Indianapolis, IN 46202-1228 | 2016-08-01 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194041764 | Andrew Alexander Gonzalez | Surgery | 1801 N Senate Blvd Ste 3500, Indianapolis, IN 46202-1184 | 2010-04-08 |
| 1487761607 | Abdolaziz M Ardalan | Surgery | 9737 Decatur Dr, Indianapolis, IN 46256-9656 | 2006-08-24 |
| 1073542346 | Deepak Guttikonda | Surgery | 8075 N Shadeland Ave Ste 330, Indianapolis, IN 46250-2694 | 2006-06-30 |
| 1255397246 | Gary W Lemmon | Surgery | 1801 N Senate Blvd Ste D-3500, Indianapolis, IN 46202-1228 | 2006-04-26 |
| 1861999401 | Michael David Ingram | Surgery | 1130 W. Michigan St, Fessler Hall 318, Indianapolis, IN 46202 | 2018-04-10 |
| 1629437397 | Center for Vein Restoration In, LLC | Surgery | 105 S Raceway Rd, Suite 135, Indianapolis, IN 46231-1414 | 2016-02-23 |
| 1578944427 | Sarah Strot | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2015-06-17 |
| 1508285784 | Shihuan Keisin Wang | Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2014-04-15 |
| 1659676146 | Gregory George Westin | Surgery | 1801 N Senate Blvd, Mpc2, Suite 3500, Indianapolis, IN 46202-1184 | 2011-01-14 |
| 1407014426 | Kevin M Sheridan | Surgery | 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 | 2008-05-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on JUSTIN ROSSEL KING.
| 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.