SMM,LLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

SMM,LLC

Doing business as

Pediatric Gastroenterology Associates of Indiana

Practice address

8402 Harcourt Rd
Ste 402
Indianapolis, IN 46260-2074

Phone

(317) 338-9450

Fax

(317) 338-9567

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Ochsner, BUSINESS OFFICE

Title

Credentialing Specialist

Phone

(317) 781-3604

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Gastroenterology Associates of Indiana Doing business as

Locations

Practitioners 5

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

• Mualla Akisik, MD

  • Pediatric Adolescent Medicine Physician
  • Noblesville, IN
  • NPI 1861448144
  NPD (past)
• Kevin C Bax, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1699732669
  NPD (past)
• Susan K Maisel, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1508836669
  NPD (past)
• Elizabeth Ann Schaefer, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1174652382
  NPD (past)
• Luis A Santos, M.D.

  • Pediatric Gastroenterology Physician
  • El Paso, TX
  • NPI 1275532863
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1669427480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "STE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-338-9450",
            "fax_number": "317-338-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD",
            "address_2": "STE 402",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602074",
            "telephone_number": "317-338-9450",
            "fax_number": "317-338-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OCHSNER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "317-781-3604",
        "authorized_official_credential": "BUSINESS OFFICE"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Gastroenterology Associates of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Lynn Smitha, NP
• Jeanine Ellen Smithburns, REGISTERED NURSE
• Andrew Philip Smithka, M.D.
• Julayne Renee Smithson, RN
• Tykia Smithson
• Brandy Smock
• Carla Smock, LCSW
• Danielle Smock, PA
• Vicki L Smock, P.T.
• Brittany Nicole Smogoleski, LCSW

• Pediatric Gastroenterology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.