Edward Paul Todderud, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Indianapolis, IN
NPI 1891729463 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1891729463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 01032114A (IN)
- Practice address
- 7930 N Shadeland Ave
Indianapolis, IN 46250 - Phone
- (317) 621-6725
- Fax
- (317) 621-4545
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032114A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospitals of Indiana Inc | Past |
Accepting new patients | |
| Community Health Network, Inc | Past |
Accepting new patients | |
| Community Hospitals of Indiana Inc | Past |
Accepting new patients | |
| Community Hospitals of Indiana Inc | Past |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Community Hospitals of Indiana Inc | Past |
Accepting new patients | |
| Community Hospitals of Indiana Inc | Past |
Accepting new patients | |
| Community Hospitals of Indiana Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01032114A | IN | Yes |
Addresses
Primary practice location
7930 N Shadeland Ave
Indianapolis, IN 46250
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000764715 | Other | IN | ANTHEM |
| P01133606 | Other | IN | MEDICARE RAILROAD |
| 100085330 | Medicaid | IN |
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- Randall M. Todd
- Samantha Todd
- Tambra Jean Todd
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- Toddlers Choice Inc.
- Aleksa Todorovic
- Erin Tofani
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All providers in Indianapolis, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.