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8003 Castleway Dr Indianapolis IN 46250-1946 | |
| (317) 576-1335 | |
| (317) 576-1339 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 8003 Castleway Dr, Indianapolis, Indiana |
| Authorized Official Name and Position | Tracy Nagel (CFO) |
| Authorized Official Contact | 3175761335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 | 8003 Castleway Dr Indianapolis IN 46250-1946 Ph: (317) 576-1335 |
| NPI Number | 1598776742 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 3971599473 |
|---|---|
| Medicare Enrollment ID | O20040430001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598776742 | NPI | - | NPPES |
| 1000071250 | Medicaid | IN |
| Provider Name | Caroline Marie Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831119239 PECOS PAC ID: 2567351471 Enrollment ID: I20040310001367 |
| Provider Name | John B Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942265483 PECOS PAC ID: 3173589116 Enrollment ID: I20041202000026 |
| Provider Name | Robert Keith Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588727895 PECOS PAC ID: 1658303532 Enrollment ID: I20050831000811 |
| Provider Name | Aaron Peter Kalinowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063467850 PECOS PAC ID: 6103837463 Enrollment ID: I20060526000104 |
| Provider Name | Joy Rae Bohon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396745857 PECOS PAC ID: 8820180375 Enrollment ID: I20070828000972 |
| Provider Name | Steven C Obert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932377447 PECOS PAC ID: 1254415946 Enrollment ID: I20080219000512 |
| Provider Name | Bethany A Wait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447458096 PECOS PAC ID: 6002972544 Enrollment ID: I20090306000493 |
| Provider Name | Katherine A Mccalla Gilliatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831337682 PECOS PAC ID: 0840331872 Enrollment ID: I20100112000747 |
| Provider Name | Kristina K Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154647634 PECOS PAC ID: 7517081375 Enrollment ID: I20100831000317 |
| Provider Name | Rachel R Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508180639 PECOS PAC ID: 9335323773 Enrollment ID: I20110411000217 |
| Provider Name | Michael H Conn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932158193 PECOS PAC ID: 6406027440 Enrollment ID: I20110922000389 |
| Provider Name | Terrance J Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750472049 PECOS PAC ID: 2860543048 Enrollment ID: I20120418000055 |
| Provider Name | Akila T Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447506688 PECOS PAC ID: 9032365291 Enrollment ID: I20120803000709 |
| Provider Name | Kellie A Kilrain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255682894 PECOS PAC ID: 3476796350 Enrollment ID: I20130823001315 |
| Provider Name | Robert Eugene Zentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992790919 PECOS PAC ID: 3779711445 Enrollment ID: I20140102001545 |
| Provider Name | Phillip R Renfroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023105707 PECOS PAC ID: 2163581927 Enrollment ID: I20140109001701 |
| Provider Name | Julianne Stout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245276005 PECOS PAC ID: 2860719176 Enrollment ID: I20150326000126 |
| Provider Name | Gertrude Mumba-kaunda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093146631 PECOS PAC ID: 4981835626 Enrollment ID: I20150415002017 |
| Provider Name | Elizabeth A Dulmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255708988 PECOS PAC ID: 7719287010 Enrollment ID: I20151118000393 |
| Provider Name | Tabitha D Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457722142 PECOS PAC ID: 9032412325 Enrollment ID: I20160120001552 |
| Provider Name | Deborah A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063813178 PECOS PAC ID: 8426270935 Enrollment ID: I20170814000942 |
| Provider Name | Dante Brown |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104277516 PECOS PAC ID: 6507130614 Enrollment ID: I20170929001327 |
| Provider Name | Soneka Wynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705951 PECOS PAC ID: 3476812553 Enrollment ID: I20180117002757 |
| Provider Name | Stephen Daniel Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346735370 PECOS PAC ID: 9436408192 Enrollment ID: I20180814003055 |
| Provider Name | Lacey R Rosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689230096 PECOS PAC ID: 5799014924 Enrollment ID: I20190912001730 |
| Provider Name | James B Levenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726003 PECOS PAC ID: 0143551804 Enrollment ID: I20191010000286 |
| Provider Name | Brooke Wolfe Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205474921 PECOS PAC ID: 6507291382 Enrollment ID: I20200124001714 |
| Provider Name | Joanna Leigh Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686395 PECOS PAC ID: 0244668234 Enrollment ID: I20200325003440 |
| Provider Name | Brandi Lea Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262279 PECOS PAC ID: 2365866134 Enrollment ID: I20200727001995 |
| Provider Name | Mackenzie Austgen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477903391 PECOS PAC ID: 4082038781 Enrollment ID: I20200727003169 |
| Provider Name | Jay Lee Hoeksema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124625926 PECOS PAC ID: 9638599350 Enrollment ID: I20201020000259 |
| Provider Name | Melanie Lehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922681329 PECOS PAC ID: 8921417536 Enrollment ID: I20210512001198 |
| Provider Name | Amina Maisoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942796792 PECOS PAC ID: 2264775378 Enrollment ID: I20210831000656 |
| Provider Name | Vaishali Karnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295263564 PECOS PAC ID: 7214334259 Enrollment ID: I20210917002390 |
| Provider Name | April Christine Chew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164030243 PECOS PAC ID: 7618374588 Enrollment ID: I20210920000978 |
| Provider Name | Randi D Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420031 PECOS PAC ID: 8224420922 Enrollment ID: I20220107002080 |
| Provider Name | James M Lindsey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770666489 PECOS PAC ID: 9133447154 Enrollment ID: I20220317001632 |
| Provider Name | Jerra Nichole Sharp-williams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770895914 PECOS PAC ID: 4688052079 Enrollment ID: I20220525001135 |
| Provider Name | Lisa Achenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851063911 PECOS PAC ID: 7214318500 Enrollment ID: I20220718002950 |
| Provider Name | Mary Elmasry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477286193 PECOS PAC ID: 5496136590 Enrollment ID: I20220720003889 |
| Provider Name | Ahmad Soliman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568015386 PECOS PAC ID: 6204219181 Enrollment ID: I20220810003655 |
| Provider Name | Bobbi J Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366969271 PECOS PAC ID: 3072998087 Enrollment ID: I20220912002196 |
| Provider Name | Yamna Matin Afridi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649942152 PECOS PAC ID: 4284000969 Enrollment ID: I20221020002375 |
| Provider Name | Yahya El-shinnawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619914140 PECOS PAC ID: 4082635883 Enrollment ID: I20221026001877 |
| Provider Name | Monika Bhagat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700136769 PECOS PAC ID: 2860864766 Enrollment ID: I20230201003286 |
| Provider Name | Dana C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974140 PECOS PAC ID: 5092171033 Enrollment ID: I20230518000345 |
| Provider Name | Tina Marie Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700418969 PECOS PAC ID: 4082072418 Enrollment ID: I20230616001857 |
| Provider Name | Austin L Simmons |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013692789 PECOS PAC ID: 9830558345 Enrollment ID: I20230630001850 |
| Provider Name | Lindsay Kasey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043977010 PECOS PAC ID: 7214376821 Enrollment ID: I20240416001194 |
| Provider Name | Erin Elizabeth Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699457325 PECOS PAC ID: 0446691703 Enrollment ID: I20240517000295 |
| Provider Name | Amber Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922730787 PECOS PAC ID: 2769925775 Enrollment ID: I20240619000180 |
| Provider Name | Elizabeth Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043067697 PECOS PAC ID: 4486197100 Enrollment ID: I20240621001964 |
| Provider Name | Tamara Dionne Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578339420 PECOS PAC ID: 9032654587 Enrollment ID: I20240709003685 |
| Provider Name | Alexander Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790472769 PECOS PAC ID: 0840737268 Enrollment ID: I20240802003011 |
| Provider Name | Mary Jo Stine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619965803 PECOS PAC ID: 6305386624 Enrollment ID: I20240912002354 |
| Provider Name | Kaitlyn E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861228066 PECOS PAC ID: 9133651227 Enrollment ID: I20241014004313 |
| Provider Name | Leigh Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942028006 PECOS PAC ID: 2860927464 Enrollment ID: I20241119003822 |
| Provider Name | Teresiah W. Mwangi-riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947574 PECOS PAC ID: 2365977253 Enrollment ID: I20241202002663 |
| Provider Name | Mackenzie Elise Binkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851153217 PECOS PAC ID: 9234665092 Enrollment ID: I20241204001583 |
| Provider Name | Dorcas Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477215895 PECOS PAC ID: 2961882519 Enrollment ID: I20241212003870 |
Louly Dentistry, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11530 E Washington Street, Indianapolis, IN 46229 Phone: 317-869-0000 Fax: 317-869-0233 | |
Holland Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3935 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254 Phone: 317-291-1000 | |
John M. Porter Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 Clearvista Pkwy, Building 5 Suite B, Indianapolis, IN 46256 Phone: 317-842-6333 | |
University Pediatric Dentistry Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Roc - Suite 4205, Indianapolis, IN 46202 Phone: 317-944-9604 Fax: 317-948-0760 | |
Castleton General & Implant Dentistry Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 6535 E 82nd St, Suite 211, Indianapolis, IN 46250 Phone: 317-849-3597 Fax: 317-913-0641 | |
Thoman Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-865-1300 |