Eagle Creek Obstetrics & Gynecology, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

50004162A Issued in IN

Legal business name

EAGLE CREEK OBSTETRICS & GYNECOLOGY, PC

Doing business as

EAGLE CREEK OB/GYN PC

Practice address

6820 Parkdale PL
Suite 212
Indianapolis, IN 46254-6601

Phone

(317) 329-7022

Fax

(317) 329-7030

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Karen L Gallagher, M.D.

Title

President of Corp

Phone

(317) 329-7025

Specialties & licenses 1

Addresses

Other names 1

• EAGLE CREEK OB/GYN PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith A Robinson, MD

  • Gynecology Physician
  • Indianapolis, IN
  • NPI 1770549040
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1255417747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL",
            "address_2": "SUITE 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546601",
            "telephone_number": "317-329-7022",
            "fax_number": "317-329-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 PARKDALE PL",
            "address_2": "SUITE 212",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462546601",
            "telephone_number": "317-329-7022",
            "fax_number": "317-329-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CREEK OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "317-329-7025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "50004162A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE CREEK OB/GYN PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Creek Chiropractic, PC
• Eagle Creek Counseling Services, Inc.
• Eagle Creek Dentistry, LLC
• Eagle Creek Dermatology
• Eagle Creek Internal Medicine PC
• Eagle Creek Urgent Care LLC
• Eagle Highland Pharmacy Inc
• Eagle Highlands Surgery Center LLC
• Eagle Highlands Surgery Center, LLC
• Jordan Kait Eagleson, LPTA

• 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 Aug 29, 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.