Organization Active NPI

Steven Segal, M.D., PC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1881097426
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01031178B Issued in IN
Legal business name
STEVEN SEGAL, M.D., PC
Practice address
1810 Broad Ripple Ave
Suite 1
Indianapolis, IN 46220-2363
Phone
(317) 251-8550
Fax
(317) 251-8611
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Dr. Steven A Segal, M.D.
Title
President
Phone
(317) 251-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01031178B IN Primary

Addresses

Primary practice location

1810 Broad Ripple Ave
Suite 1
Indianapolis, IN 46220-2363

Mailing address

1810 Broad Ripple Ave
Suite 1
Indianapolis, IN 46220-2363
Phone (317) 251-8550

National Provider Directory

National Provider Directory

Locations

1810 Broad Ripple Ave
Ste 1
Indianapolis, IN 46220
Phone (317) 251-8550

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1881097426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 BROAD RIPPLE AVE",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202363",
            "telephone_number": "317-251-8550",
            "fax_number": "317-251-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 BROAD RIPPLE AVE",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202363",
            "telephone_number": "317-251-8550",
            "fax_number": "317-251-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN SEGAL, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-251-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031178B",
            "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 Sep 26, 2014; 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.