Sidney L Gilbert, M.D.
Individual provider Active NPI Pediatrics Physician · Mooresville, IN
NPI 1457396707 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1457396707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01041442 (IN)
- Practice address
- 100 Town Center Drive
Suite B
Mooresville, IN 46158 - Phone
- (317) 834-5317
- Fax
- (317) 834-4221
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01041442 | IN | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01041442 | IN | Yes |
Addresses
Primary practice location
100 Town Center Drive
Suite B
Mooresville, IN 46158
Mailing address
250 N Shadeland Ave
Suite 200
Indianapolis, IN 46219-4959
Phone (317) 962-4836
Other providers in Mooresville, IN
- Kari Marie Gabehart
- Bryan Gantner
- Daniel A Gay
- Craig Cameron George
- Rachel Jane Gerbick
- Kelly Jayne Gilkerson
- Sunil Kumar Gollapudi
- Goodwill Industries of Central Indiana Inc
- Gregory V McGowan DDS PC
- Sarah E Grindle
All providers in Mooresville, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.