Christopher Todd Kirkup (NPI# 1497787220, PAC ID# 0446257315) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1497787220 |
| PAC ID by PECOS | 0446257315 |
| Professional Enrollment ID | I20061107000366 |
| Full Name | Christopher Todd Kirkup |
| Organization Legal Name | INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC |
| Address |
777 Beachway Dr Suite 202 Indianapolis IN 46224-7877 |
| Phone Number | 3172971007 |
| Gender | M |
| Credential | DDS |
| Medical School | VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY |
| Graduation Year | 2000 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9335157254 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3021 E 98th St, Suite 250, Indianapolis, IN 46280-2908 | 3178463446 | INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC |
| 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 | 3172971007 | INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC |
| Organization Legal Name | INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Jeffrey Hockema | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 10801 N Michigan Rd, Suite 201, Zionsville, IN 46077-8171 |
| John W Pruitt | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 1630 W Smith Valley Rd, Suite 100, Greenwood, IN 46142-1550 |
| Philip M Montefalco | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 8445 S Emerson Ave, Suite 100, Indianapolis, IN 46237-9597 |
| Samuel A Tancredi | Oral Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| Matthew D Bojrab | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 10972 Allisonville Rd, Suite 100, Fishers, IN 46038-2639 |
| Michael G Kapp | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 9240 N Meridian St, Suite 300, Indianapolis, IN 46260-1822 |
| Natalie M Eden | Oral Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 10972 Allisonville Rd, Suite 100, Fishers, IN 46038-2639 |
| David M Montes | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| John W Adelsperger | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| John E Moenning | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 10972 Allisonville Rd, Suite 100, Fishers, IN 46038-2639 |
| Street Address |
777 BEACHWAY DR SUITE 202 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46224-7877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel A Tancredi | Oral Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| David M Montes | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| John W Adelsperger | Maxillofacial Surgery | Indiana Oral and Maxillofacial Surgery Associates PC | 777 Beachway Dr, Suite 202, Indianapolis, IN 46224-7877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohana Raghunath Sowani | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Sandra Dawn Scherschel | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Jacob Schick | Physical Therapy | Advanced Physical Therapy LLC | 6345 Crawfordsville Rd, Suite B, Speedway, IN 46224-3565 |
| Diana L Robertson | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| Sunshine Mia Wolfe | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| David L Keith | Nurse Practitioner | Little Clinic of In LLC | 5718 Crawfordsville Rd, Indianapolis, IN 46224-3704 |
| Benetta E Johnson | Clinical Psychologist | Hope Haven Psychological Resource, LLC | 5610 Crawfordsville Rd, Suite 200, Indianapolis, IN 46224-3714 |
| Courtney Scholl | Physical Therapy | Fast Track Physical Therapy LLC | 5641 Crawfordsville Rd, Indianapolis, IN 46224-3718 |
| Kirsten E Kaisner-duncan | Internal Medicine | Osh-in Physicians Group PC | 5926 Crawfordsville Rd, B, Speedway, IN 46224-3722 |
| Elizabeth Ioannacci | Nurse Practitioner | Osh-in Physicians Group PC | 5926 Crawfordsville Rd, B, Speedway, IN 46224-3722 |
| Find all physicians in zip 46224 | |||
| City | INDIANAPOLIS |
| Zip Code | 46224 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | INDIANAPOLIS + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.