Organization Active NPI

Endo-Indy, Inc.

  • Gastroenterology Physician
  • Danville, IN
National Provider Identifier
1134315948
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01023945A Issued in IN
Legal business name
ENDO-INDY, INC.
Practice address
998 E Main St Ste 104
Danville, IN 46122-1900
Phone
(317) 745-6305
Fax
(317) 298-8064
NPI assigned
Sep 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. William Michael McCune, M.D.
Title
President
Phone
(317) 745-6305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 01023945A IN Primary

Addresses

Primary practice location

998 E Main St Ste 104
Danville, IN 46122-1900

Mailing address

998 E Main St Ste 104
Danville, IN 46122-1900
Phone (317) 745-6305

National Provider Directory

National Provider Directory

Locations

998 E Main St
Ste 104
Danville, IN 46122
Phone (317) 718-2950

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1134315948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 E MAIN ST STE 104",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221900",
            "telephone_number": "317-745-6305",
            "fax_number": "317-298-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 E MAIN ST STE 104",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221900",
            "telephone_number": "317-745-6305",
            "fax_number": "317-298-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDO-INDY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-745-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01023945A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.