Aspen Leaf Emergency Physicians, LLC

Organization Active NPI Emergency Medicine Physician · Indianapolis, IN

NPI 1619340585 · NPPES record last updated Nov 18, 2015

Key facts

NPI
1619340585
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
ASPEN LEAF EMERGENCY PHYSICIANS, LLC
Practice address
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone
(469) 401-2386
NPI assigned
Nov 2, 2015
Organization subpart
No

Authorized official

Name
Eddie Stone, M.D.
Title
Officer
Phone
(469) 401-2386

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aspen Leaf Emergency Physicians LLC (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

1402 E County Line Rd
Indianapolis, IN 46227-0963

Mailing address

PO Box 80076
Philadelphia, PA 19101-0076
Phone (469) 401-2386

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.