Active NPI
Neurology Clinic of Indiana, PC
- Neurology Physician
- Indianapolis, IN
National Provider Identifier
1114941739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01055906
- Legal business name
- NEUROLOGY CLINIC OF INDIANA, PC
- Practice address
- 8330 Naab Rd
Suite #102
Indianapolis, IN 46260-5925 - Phone
- (317) 870-6704
- Fax
- (317) 870-0499
- NPI assigned
- Jul 27, 2006
- Last updated
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wei Wang, MD
- Title
- President
- Phone
- (317) 870-6704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01055906 | IN | Primary |
Addresses
Primary practice location
8330 Naab Rd
Suite #102
Indianapolis, IN 46260-5925
Mailing address
PO Box 635361
Cincinnati, OH 45263-0043
Phone (317) 870-6704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200828640 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
2101 Forest Ave
Ste 221
San Jose, CA 95128
Phone (408) 216-8763
7250 Clearvista Dr
Ste 390
Indianapolis, IN 46256
Phone (317) 228-1940
8330 Naab Rd
Ste 102
Indianapolis, IN 46260
Phone (317) 429-9336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1114941739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635361",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630043",
"telephone_number": "317-870-6704",
"fax_number": "317-870-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8330 NAAB RD",
"address_2": "SUITE #102",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605925",
"telephone_number": "317-870-6704",
"fax_number": "317-870-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CLINIC OF INDIANA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "WEI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-870-6704",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01055906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200828640",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Neurohealth LTD (Alivio Medical Center)
- Neurohealth LTD (Alivio Medical Center)
- Neurohealth of Indianapolis Inc
- Neurohope of Indiana Inc
- Neurological Care of Indiana Inc
- Neurology Indiana LLC
- Neurology Indiana, LLC
- Neuromonitoring Associates, LLC
- Neuropsychiatric Hospital of Indianapolis, LLC
- Neurosurgical Associates of Indiana, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.