DR. MARK D PESCOVITZ X (NPI# 1942211313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942211313 |
| Entity Type | Individual |
| Full Name | DR. MARK D PESCOVITZ X |
| Credential | M.D. |
| Practice Address |
550 University Blvd. #uh 4601 Indianapolis IN 46202 |
| Practice Telephone | 3172744370 |
| Practice Fax Number | 3172783268 |
| Mailing Telephone | 3172744370 |
| Mailing Fax Number | 3172783268 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 01036924A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200002680A | 05 |
| Street Address |
550 UNIVERSITY BLVD. #UH 4601 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| 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 | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528451754 | Plamen Mihaylov | Transplant Surgery | 322 Canal Walk, Indianapolis, IN 46202-3278 | 2015-03-12 |
| 1760777056 | Adam Stephen Alexander Gracon | Transplant Surgery | 7411 Bramblewood Ln, Indianapolis, IN 46254-9716 | 2011-06-14 |
| 1447488143 | Gerry Polyhronopoulos | Transplant Surgery | 550 University Blvd # Uh4601, Indianapolis, IN 46202-5149 | 2009-07-01 |
| 1881126092 | Aaron Kaviani | Transplant Surgery | 545 Barnhill Dr, Indianapolis, IN 46202-5112 | 2017-03-28 |
| 1114271483 | Ahmed Mohammed Ibrahim Elsabbagh | Transplant Surgery | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2012-11-07 |
| 1326394511 | Burcin Ekser | Transplant Surgery | 550 University Blvd, Indianapolis, IN 46202-5149 | 2012-07-25 |
| 1093011793 | Mcgol Associates | Transplant Surgery | 2160 W 86th St, Indianapolis, IN 46260-1907 | 2011-01-28 |
| 1952556813 | Chandrashekhar A Kubal | Transplant Surgery | 550 University Blvd, Uh 4601, Indianapolis, IN 46202-5149 | 2008-11-19 |
| 1023204146 | Clarian Transplant Institute, Inc. | Transplant Surgery | 550 University Blvd, Suite 4258a, Indianapolis, IN 46202-5149 | 2007-09-21 |
| 1154537850 | Cardiothoracic Surgeons Pediatrics LLC | Transplant Surgery | 545 Barnhill Dr # Eh215, Indianapolis, IN 46202-5112 | 2007-05-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. MARK D PESCOVITZ X.
| 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.