Zionsville Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01026364 Issued in IN

Legal business name

ZIONSVILLE FAMILY PRACTICE

Practice address

55 Brendon Way
Ste 300
Zionsville, IN 46077-1961

Phone

(317) 873-3088

Fax

(317) 873-3050

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Shull, MD

Title

Owner

Phone

(317) 873-3088

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1285849323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "STE 300",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-873-3088",
            "fax_number": "317-873-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRENDON WAY",
            "address_2": "STE 300",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771961",
            "telephone_number": "317-873-3088",
            "fax_number": "317-873-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIONSVILLE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-873-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01026364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDIVIDUAL NPI",
            "identifier": "1508931650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Gretchen Zehring Hoagland, AU.D.
• Ronald R Zentz, D.D.S.
• Zionsville Community Schools
• Zionsville Eyecare LLC
• Zionsville Family Chiropractic
• Zionsville Holistic Chiropractic
• Zionsville OB/GYN
• Zionsville Orthodontics, P.C.
• Zionsville Pediatric Dentistry
• Zionsville Presbyterian Church

• Family Medicine Physician in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.