Stephen F Dierdorf, MD | |
1120 South Dr, Fesler Hall Rm 204, Indianapolis, IN 46202-5135 | |
(317) 274-0273 | |
(317) 274-0256 |
Full Name | Stephen F Dierdorf |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 1120 South Dr, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285742213 | NPI | - | NPPES |
100324750 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01024461A (Indiana) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 01024461A (Indiana) | Primary |
Entity Name | University Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Mailing Address | Practice Location Address |
---|---|
Stephen F Dierdorf, MD 702 Barnhill Dr, Indianapolis, IN 46202-5128 Ph: (317) 567-2180 | Stephen F Dierdorf, MD 1120 South Dr, Fesler Hall Rm 204, Indianapolis, IN 46202-5135 Ph: (317) 274-0273 |
Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503 | |
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 | |
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191 | |
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191 | |
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 |