NPIMap

Organization Active NPI

Digestive & Liver Clinic, P.C.

  • Specialist
  • Carmel, IN
National Provider Identifier
1699875682
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01047833A Issued in IN
Legal business name
DIGESTIVE & LIVER CLINIC, P.C.
Practice address
11805 Harvard LN
Carmel, IN 46032-4663
Phone
(317) 650-7454
Fax
(800) 314-7614
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Hwan Young Yoo, MD, PHD
Title
President
Phone
(317) 650-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01047833A IN Primary

Addresses

Primary practice location

11805 Harvard LN
Carmel, IN 46032-4663

Mailing address

11805 Harvard LN
Carmel, IN 46032-4663
Phone (317) 650-7454

Other identifiers 1

IdentifierTypeStateIssuer
200373120AMedicaidIN

National Provider Directory

National Provider Directory

Locations

13450 N Meridian St
Ste 360
Carmel, IN 46032
Phone (317) 810-9425

13400 N Meridian St
#200
Carmel, IN 46032

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1699875682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 HARVARD LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324663",
            "telephone_number": "317-650-7454",
            "fax_number": "800-314-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 HARVARD LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324663",
            "telephone_number": "317-650-7454",
            "fax_number": "800-314-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE & LIVER CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "HWAN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-650-7454",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01047833A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200373120A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.