NPIMap

Organization Active NPI

Obstetrics & Gynecology of Indiana, LLC

  • Obstetrics & Gynecology Physician
  • Carmel, IN
National Provider Identifier
1942290143
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50003837A Issued in IN
Legal business name
OBSTETRICS & GYNECOLOGY OF INDIANA, LLC
Practice address
11595 N Meridian St
Suite 375
Carmel, IN 46032-6947
Phone
(317) 575-7304
Fax
(317) 575-7333
NPI assigned
Oct 27, 2005
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Mr. Richard W. Gates II, M.D.NPI 1306812078
Title
Manager
Phone
(317) 415-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 50003837A IN Primary

Addresses

Primary practice location

11595 N Meridian St
Suite 375
Carmel, IN 46032-6947

Mailing address

1373 Reliable Parkway
Chicago, IL 60686-0001
Phone (317) 575-7304

Other identifiers 1

IdentifierTypeStateIssuer
100218870MedicaidIN

Other names 1

  • Obstetrics & Gynecology of Indiana, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1373 Reliable Pkwy
Chicago, IL 60686

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

11530 Allisonville Rd
Ste 155
Fishers, IN 46038
Phone (317) 739-4243

13914 Southeastern Pkwy
Ste 314
Fishers, IN 46037
Phone (317) 872-1415

3850 Shore Dr
Ste 203
Indianapolis, IN 46254
Phone (317) 297-3774

8081 Township Line Rd
Ste 201
Indianapolis, IN 46260
Phone (317) 872-8660

8240 Naab Rd
Ste 450
Indianapolis, IN 46260
Phone (317) 872-9680

9240 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 689-0753

Practitioners & affiliated clinicians

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1942290143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 N MERIDIAN ST",
            "address_2": "SUITE 375",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326947",
            "telephone_number": "317-575-7304",
            "fax_number": "317-575-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-415-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "50003837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obstetrics & Gynecology of Indiana, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 4, 2020; 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.