Indy Vascular LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

INDY VASCULAR LLC

Practice address

12315 Hancock St Ste 24
Carmel, IN 46032-5885

Phone

(317) 708-3732

Fax

(888) 316-7962

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Gaylon Halum III, MD

Title

President

Phone

(317) 490-8352

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1720833528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 SHOREVISTA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369342",
            "telephone_number": "317-490-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 24",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "317-708-3732",
            "fax_number": "888-316-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12650 Shorevista Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462369342",
            "country_code": "US",
            "telephone_number": "317-490-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDY VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "HALUM",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "GAYLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-490-8352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indy Counseling, P.C.
• Indy Dental Group WC, Inc.
• Indy House Calls
• Indy Infusion, LLC
• Indy Sports Chiropractic PC
• Indy Vascular LLC
• Infectious Disease of Indiana, PSC
• Infinity Wellness Associates LLC
• Beverly Inman-Dunigan, LMHC
• Margaret Murphy Inman, M.D.

• Medical Specialty Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.