Indicare Vitals Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01038358B Issued in IN

Legal business name

INDICARE VITALS INC

Practice address

1427 W 86TH St
Suite 326
Indianapolis, IN 46260-2103

Phone

(317) 332-2692

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By 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

Gregory Gordon

Title

Ceo

Phone

(317) 332-2692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1386950913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE 326",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W 86TH ST",
            "address_2": "SUITE 326",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602103",
            "telephone_number": "317-332-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDICARE VITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-332-2692"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01038358B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.