Active NPI
Aesop, Inc.
Doing business as Aesop-CPMP
- Legal Medicine
- Indianapolis, IN
National Provider Identifier
1336152271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 01026336A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238740 | Other | NY | LICENSE # |
| C52231 | Other | CA | LICENSE # |
Other names 1
- AESOP-CPMP
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.