NPIMap

Organization Active NPI

Mercho Roushdi Dilley Jacob Thoracovascular Corportation

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1407958374
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MERCHO ROUSHDI DILLEY JACOB THORACOVASCULAR CORPORTATION
Practice address
1315 N Arlington Ave Ste 100
Indianapolis, IN 46219-3200
Phone
(317) 353-9338
Fax
(317) 355-9672
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Mrs. Sylvia E Schofield
Title
Clinic Manager
Phone
(317) 322-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1315 N Arlington Ave Ste 100
Indianapolis, IN 46219-3200

Mailing address

1315 N Arlington Ave Ste 100
Indianapolis, IN 46219-3200
Phone (317) 353-9338

National Provider Directory

National Provider Directory

Locations

1315 N Arlington Ave
#100
Indianapolis, IN 46219
Phone (317) 353-9338

1315 N Arlington Ave
Ste 100
Indianapolis, IN 46219
Phone (317) 322-2392

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1407958374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N ARLINGTON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193200",
            "telephone_number": "317-353-9338",
            "fax_number": "317-355-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N ARLINGTON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193200",
            "telephone_number": "317-353-9338",
            "fax_number": "317-355-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCHO ROUSHDI DILLEY JACOB THORACOVASCULAR CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "317-322-2390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2009; 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.