Philip Zaneteas, PHD, MD, Inc., PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

50003491A Issued in IN

Legal business name

PHILIP ZANETEAS, PHD, MD, INC., PC

Doing business as

Philip D. Zaneteas, PhD. MD, Inc.

Practice address

9240 N Meridian St
Suite 350
Indianapolis, IN 46260-1880

Phone

(317) 848-0800

Fax

(317) 848-0804

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2016By 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

Mrs. Bettina Zaneteas, MBA

Title

Practice Manager

Phone

(317) 848-0800

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Philip D. Zaneteas, PhD. MD, Inc. Doing business as

Locations

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1528485018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST",
            "address_2": "SUITE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601880",
            "telephone_number": "317-848-0800",
            "fax_number": "317-848-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST",
            "address_2": "SUITE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601880",
            "telephone_number": "317-848-0800",
            "fax_number": "317-848-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP ZANETEAS, PHD, MD, INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ZANETEAS",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-848-0800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003491A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200144540A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA CORPORATE MEDICAL LICENSE",
            "identifier": "50003491A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI",
            "identifier": "1326091364",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF LABOR",
            "identifier": "276162700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PHYSICIAN MEDICAL LICENSE",
            "identifier": "01040424A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip D. Zaneteas, PhD. MD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.