NPIMap

Organization Active NPI

Todd E. Midla, D.O.,P.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Indianapolis, IN
National Provider Identifier
1770926453
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
02001032A Issued in IN
Legal business name
TODD E. MIDLA, D.O.,P.C.
Practice address
3660 Guion Rd
Suite 230
Indianapolis, IN 46222-1697
Phone
(317) 920-7432
Fax
(317) 920-7446
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Erin Ridenour
Title
Asst Manager
Phone
(317) 920-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 02001032A IN Primary

Addresses

Primary practice location

3660 Guion Rd
Suite 230
Indianapolis, IN 46222-1697

Mailing address

3660 Guion Rd
Suite 230
Indianapolis, IN 46222-1697
Phone (317) 920-7432

National Provider Directory

National Provider Directory

Locations

3660 Guion Rd
Ste 230
Indianapolis, IN 46222
Phone (317) 920-7432

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1770926453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GUION RD",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221697",
            "telephone_number": "317-920-7432",
            "fax_number": "317-920-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GUION RD",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221697",
            "telephone_number": "317-920-7432",
            "fax_number": "317-920-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD E. MIDLA, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "RIDENOUR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ASST MANAGER",
        "authorized_official_telephone_number": "317-920-7432"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02001032A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.