Organization Active NPI

Aesop, Inc.

Doing business as Aesop-CPMP

  • Legal Medicine
  • Indianapolis, IN
National Provider Identifier
1336152271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
01026336A Issued in IN
Legal business name
AESOP, INC.
Doing business as
Aesop-CPMP
Practice address
4084 Pendleton Way
# 264
Indianapolis, IN 46226-5224
Phone
(317) 897-1877
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Beverley Jeanne Edwards, M.D.
Title
President & Ceo
Phone
(800) 491-5744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 01026336A IN Primary

Addresses

Primary practice location

4084 Pendleton Way
# 264
Indianapolis, IN 46226-5224

Mailing address

4084 Pendleton Way
# 264
Indianapolis, IN 46226-5224
Phone (317) 897-1877

Other identifiers 2

IdentifierTypeStateIssuer
238740OtherNYLICENSE #
C52231OtherCALICENSE #

Other names 1

  • AESOP-CPMP Doing business as

National Provider Directory

National Provider Directory

Locations

4084 Pendleton Way
#264
Indianapolis, IN 46226
Phone (317) 897-1877

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336152271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 PENDLETON WAY",
            "address_2": "# 264",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265224",
            "telephone_number": "317-897-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 PENDLETON WAY",
            "address_2": "# 264",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265224",
            "telephone_number": "317-897-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "800-491-5744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01026336A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "238740",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "C52231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AESOP-CPMP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.