Individual provider Active NPI

Lorraine Wean, MD

  • Pediatrics Physician
  • Greenfield, IN
National Provider Identifier
1407858079
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01038518A Issued in IN
Practice address
300 E Boyd Ave Ste 250
Greenfield, IN 46140-2845
Phone
(317) 467-4500
Fax
(317) 477-6321
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01038518A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 250
Greenfield, IN 46140-2845

Mailing address

PO Box 129
Greenfield, IN 46140-0129
Phone (317) 468-6270

Other identifiers 5

IdentifierTypeStateIssuer
100127970MedicaidIN
000000112574OtherINANTHEM PIN #
200311740 EOtherINMEDICAID GROUP #
370018015OtherINMEDICARE RAILROAD #
4345468OtherINAETNA PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000793 IN Practitioner - Pediatric Medicine 1658274196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01038518AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Pediatrics CurrentSince Jun 14, 2010 Accepting new patients
Hancock Regional Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

120 W McKenzie Rd
Ste H
Greenfield, IN 46140
Phone (317) 462-2335

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

300 E Boyd Ave
#210
Greenfield, IN 46140
Phone (317) 467-4500

300 E Boyd Ave
Ste 250
Greenfield, IN 46140
Phone (317) 338-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1407858079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461400129",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 250",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402845",
            "telephone_number": "317-467-4500",
            "fax_number": "317-477-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAN",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01038518A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127970",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000112574",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "200311740 E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "370018015",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "4345468",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.