East Side Rheumatology

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

01036561A Issued in IN

Legal business name

EAST SIDE RHEUMATOLOGY

Practice address

7155 Shadeland Sta
Suite110
Indianapolis, IN 46256-3956

Phone

(317) 577-9999

Fax

(317) 578-1059

NPI assigned

Dec 11, 2006

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Howard Neucks, MDNPI 1871575431

Title

President

Phone

(317) 577-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Howard Neucks, MD

  • Rheumatology Physician
  • Indianapolis, IN
  • NPI 1871575431

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1083774194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 SHADELAND STA",
            "address_2": "SUITE110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563956",
            "telephone_number": "317-577-9999",
            "fax_number": "317-578-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 SHADELAND STA",
            "address_2": "SUITE110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563956",
            "telephone_number": "317-577-9999",
            "fax_number": "317-578-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "NEUCKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-577-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01036561A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Rheumatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.