Keely Anne Radosevic (NPI# 1851828636, PAC ID# 6103198866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851828636 |
| PAC ID by PECOS | 6103198866 |
| Professional Enrollment ID | I20170816001343 |
| Full Name | Keely Anne Radosevic |
| Organization Legal Name | UROLOGY OF INDIANA LLC |
| Address |
1270 N Post Rd A Indianapolis IN 46219-4209 |
| Phone Number | 3178956095 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517870009 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150169 | COMMUNITY HOSPITAL NORTH |
| 150074 | COMMUNITY HOSPITAL EAST |
| 150097 | MAJOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1270 N Post Rd A, Indianapolis, IN 46219-4209 | 3178956095 | UROLOGY OF INDIANA LLC |
| 8040 Clearvista Pkwy, Suite 370, Indianapolis, IN 46256-4673 | 3178131660 | UROLOGY OF INDIANA LLC |
| Organization Legal Name | UROLOGY OF INDIANA LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Ronald Kovac | Urology | Urology of Indiana LLC | 679 E County Line Rd, Greenwood, IN 46143-1049 |
| Kathryn A Copeland | Obstetrics/gynecology | Urology of Indiana LLC | 18051 River Ave, Suite 202, Noblesville, IN 46062-7092 |
| Peter M Knapp Jr. | Urology | Urology of Indiana LLC | 12188 A N Meridian St, Suite 200, Carmel, IN 46032-4410 |
| David M Scheidler | Urology | Urology of Indiana LLC | 1270 N Post Rd A, Indianapolis, IN 46219-4209 |
| Janine B Boivin | Physician Assistant | Urology of Indiana LLC | 18051 River Ave, Suite 202, Noblesville, IN 46062-7092 |
| Alexander James Tatem | Urology | Urology of Indiana LLC | 8240 Naab Rd, Suite 220, Indianapolis, IN 46260-1950 |
| John C Ramsey | Urology | Urology of Indiana LLC | 18051 River Ave, Suite 202, Noblesville, IN 46062-7092 |
| Ronald S Suh | Urology | Urology of Indiana LLC | 679 E County Line Rd, Greenwood, IN 46143-1049 |
| Gregory R Wahle | Urology | Urology of Indiana LLC | 12188 A N Meridian St, Suite 200, Carmel, IN 46032-4410 |
| Jeffery D Vaught | Urology | Urology of Indiana LLC | 679 E County Line Rd, Greenwood, IN 46143-1049 |
| Street Address |
1270 N POST RD A |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46219-4209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Scheidler | Urology | Urology of Indiana LLC | 1270 N Post Rd A, Indianapolis, IN 46219-4209 |
| Richard M Bennett Iii | Urology | Urology of Indiana LLC | 1270 N Post Rd A, Indianapolis, IN 46219-4209 |
| James William Faulkner Iii | Urology | Urology of Indiana LLC | 1270 N Post Rd A, Indianapolis, IN 46219-4209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Isaac | Nurse Practitioner | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| Faye E Rupert | Nurse Practitioner | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| Candice Liane Closser | Nurse Practitioner | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| Terri Leigh Kyle | Nurse Practitioner | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| Camra B Faulkner | Family Medicine | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| John W Fleming Ii | Family Practice | Jane Pauley Community Health Center Inc | 8931 E 30th St, Indianapolis, IN 46219-1501 |
| John Oscherwitz | Pathology | Ameripath Indianapolis PC | 2560 N Shadeland Ave A, Indianapolis, IN 46219-1706 |
| Jonathan Christopher Bennett | Pathology | Ameripath Indianapolis PC | 2560 N Shadeland Ave A, Indianapolis, IN 46219-1706 |
| Ted Bloch | Pathology | Ameripath Indianapolis PC | 2560 N Shadeland Ave A, Indianapolis, IN 46219-1706 |
| Michael Sever | Pathology | Ameripath Indianapolis PC | 2560 N Shadeland Ave A, Indianapolis, IN 46219-1706 |
| Find all physicians in zip 46219 | |||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Keely Anne Radosevic.
| 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.