Family Medicine Specialists, Pc | |
2020 W 86th St Ste 306 Indianapolis IN 46260-1931 | |
(317) 602-1965 | |
(317) 602-1966 |
Full Name | Family Medicine Specialists, Pc |
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Speciality | Family Medicine |
Location | 2020 W 86th St Ste 306, Indianapolis, Indiana |
Authorized Official Name and Position | Joseph Aeschliman (PHYSICIAN/PARTNER) |
Authorized Official Contact | 3176021965 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Specialists, Pc 2020 W 86th St Ste 306 Indianapolis IN 46260-1931 Ph: (317) 602-1965 | Family Medicine Specialists, Pc 2020 W 86th St Ste 306 Indianapolis IN 46260-1931 Ph: (317) 602-1965 |
NPI Number | 1336584309 |
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Provider Enumeration Date | 05/06/2013 |
Last Update Date | 03/05/2014 |
Medicare PECOS PAC ID | 3870722598 |
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Medicare Enrollment ID | O20140129000914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336584309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 50005213A (Indiana) | Primary |
Provider Name | Thomas J Barbera |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336122928 PECOS PAC ID: 7315020112 Enrollment ID: I20080218000376 |
Provider Name | James William Malenkos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386887834 PECOS PAC ID: 8921289828 Enrollment ID: I20110225000223 |
Provider Name | Samir R Ginde |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568696615 PECOS PAC ID: 4183874779 Enrollment ID: I20121016000581 |
Provider Name | Joseph S Aeschliman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871736520 PECOS PAC ID: 8729230651 Enrollment ID: I20121128000590 |
Provider Name | Gabrielle Paloma Acquaro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649625104 PECOS PAC ID: 2264723873 Enrollment ID: I20191022002581 |
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