Wilshire Medical P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WILSHIRE MEDICAL P.C.

Practice address

6820 Parkdale PL
Ste 212
Indianapolis, IN 46254-6601

Phone

(317) 329-7022

Fax

(317) 329-7031

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mary Soper, MD

Title

President

Phone

(317) 329-7022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1164692968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL",
            "address_2": "STE 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546601",
            "telephone_number": "317-329-7022",
            "fax_number": "317-329-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL",
            "address_2": "STE 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546601",
            "telephone_number": "317-329-7022",
            "fax_number": "317-329-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-329-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheresa Wills
• Willstone Counseling & Consultation LLC
• Danielle Wilmes
• Angela Michelle Wilmoth, PHARMD
• Rebecca L Wilmoth, LMHC
• Divya Wilson Mathews, M.S
• Aaron L Wilson, DO
• Alyssa Wilson, LCSW
• Amy C Wilson, M.D.
• Andrea L Wilson, PT

• Obstetrics & Gynecology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.