GREGORY PAUL POLLY


Address: 6925 E 96th St, Suite 150, Indianapolis, IN 46250-3644
Phone: 3176216925

GREGORY PAUL POLLY (NPI# 1073828547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073828547
Entity Type Individual
Full Name GREGORY PAUL POLLY
Credential M.D.
Practice Address 6925 E 96th St
Suite 150
Indianapolis
IN 46250-3644
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2805
Practice Telephone 3176216925
Practice Fax Number 3176216950
Enumeration Date 2010-08-09
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01073864A IN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN 201113370 05
IN RR MEDICARE P01512452 01

Office Location

Street Address 6925 E 96TH ST
SUITE 150
City INDIANAPOLIS
State IN
Zip Code 46250-3644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427029339 Kenneth J Golden Chiropractor 6925 E 96th St, Suite 125, Indianapolis, IN 46250-3644 2006-01-30
1487936068 Eaton Chiropractic & Rehab Center Chiropractor 6925 E 96th St, Ste 125, Indianapolis, IN 46250-3647 2011-09-09
1225349533 Total Sleep Services, Inc. Durable Medical Equipment & Medical Supplies 6925 E 96th St, Ste 245, Indianapolis, IN 46250-3644 2010-07-01
1346565421 Total Sleep Diagnostics, Inc. Clinic/Center 6925 E 96th St, Ste 255, Indianapolis, IN 46250-3644 2010-04-01
1245553528 Trusted Life Care, Inc. Durable Medical Equipment & Medical Supplies 6925 E 96th St, Ste 245, Indianapolis, IN 46250-3644 2010-03-01
1629278577 Symmergy PC Chiropractor 6925 E 96th St, Suite 125, Indianapolis, IN 46250-3644 2007-07-19
1568485266 Leanne M Fortner Family Medicine 6925 E 96th St, #150, Indianapolis, IN 46250-3648 2006-07-25
1871549576 Abigail F Eaton Chiropractor 6925 E 96th St, Ste 125, Indianapolis, IN 46250-3647 2006-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861037004 Angela L Davis Pharmacist 8520 Bash St, Indianapolis, IN 46250 2019-11-12
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1891222584 Confidential Drug LLC Pharmacy 8520 Bash St Ste D, Indianapolis, IN 46250 2017-05-12
1659813590 Occupational Health Centers of The Southwest Pa Clinic/Center 8257 Center Run Rd, Indianapolis, IN 46250 2016-11-09
1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
1861761934 Kb Medical, Inc. Durable Medical Equipment & Medical Supplies 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 2011-12-20
Find all providers in zip 46250

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073125225 Relymd Medical Group In, LLC Family Medicine 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 2020-08-19
1134765993 Basil Vareldzis Family Medicine 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 2019-11-26
1366084329 Rebekah Venable Family Medicine 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 2019-10-11
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1386150043 Brengle Family Medicine Family Medicine 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 2017-12-18
1164937249 Amy Cheung Family Medicine 6484 N Chester Ave, Indianapolis, IN 46220-4422 2017-12-11
1578017182 Medical Specialty LLC Family Medicine 2301 N Meridian St, Indianapolis, IN 46208-5729 2016-08-11
1245685742 Christopher Basom Family Medicine 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 2016-05-03
1760846877 Catherine Gambale Trigonis Family Medicine 404 E Washington St Ste A, Indianapolis, IN 46204 2016-04-06
1205204203 Community Health Network Family Medicine 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 2015-09-08
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46250

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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