Dr Housecall

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

01064701A Issued in IN

Legal business name

DR HOUSECALL

Practice address

4008 E New York St
Indianapolis, IN 46201-3662

Phone

(317) 645-6303

Fax

(317) 848-1922

NPI assigned

Mar 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy P. Walbridge, M.D.

Title

Owner/Sole Proprietor

Phone

(317) 645-6303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1073783627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 E NEW YORK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013662",
            "telephone_number": "317-645-6303",
            "fax_number": "317-848-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 E NEW YORK ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013662",
            "telephone_number": "317-645-6303",
            "fax_number": "317-848-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HOUSECALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "WALBRIDGE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "317-645-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01064701A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4921302",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.