Admiral Medical Center, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADMIRAL MEDICAL CENTER, INC

Doing business as

Professional Diabetes Care Center

Practice address

5435 Emerson Way
Suite 210
Indianapolis, IN 46226-1466

Phone

(317) 924-3757

NPI assigned

Aug 29, 2012

Last updated

Dec 27, 2013By 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

Richard Graves

Title

MGR

Phone

(317) 924-3757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Diabetes Care Center Doing business as

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1174871768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261466",
            "telephone_number": "317-924-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261466",
            "telephone_number": "317-924-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "317-924-3757"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201119870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Diabetes Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Patrick Adlam, D.O.
• Katherine M Adlam, DO
• Brooke Emmons Adler, DDS
• Robert George Adler II, PHARMD
• Adm Mobility Solutions, Inc. (Mobility Solutions)
• Admiral Medical Diabetic Education, Inc (A1c Care Center Group)
• Admiral Medical Supply
• Admiral Medical Supply Inc.
• Admiral Medical Supply, Inc
• Admiral Medical Supply, Inc

• Durable Medical Equipment & Medical Supplies in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.