CHARLES WALLACE ZOLLMAN (NPI# 1083715510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083715510 |
| Entity Type | Individual |
| Full Name | CHARLES WALLACE ZOLLMAN |
| Credential | M.D. |
| Practice Address |
8227 Northwest Blvd Suite 290 Indianapolis IN 46278-1387 |
| Practice Telephone | 3173281100 |
| Practice Fax Number | 3173349228 |
| Mailing Telephone | 3173281100 |
| Mailing Fax Number | 3173349228 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
01023513A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
8227 NORTHWEST BLVD SUITE 290 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801860309 | John Thomas Locke | Specialist/Technologist | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2006-02-14 |
| 1871964825 | St. Vincent Hospital | Specialist/Technologist, Other | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2015-10-16 |
| 1356745830 | Kayla Keller | Specialist/Technologist | 8227 Northwest Blvd, #160, Indianapolis, IN 46278-1387 | 2014-10-13 |
| 1447650072 | Brittani Jean-marie Ritter | Specialist/Technologist | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2014-09-02 |
| 1871922872 | Kacey Oiness | Psychologist | 8227 Northwest Blvd, Ste 160, Indianapolis, IN 46278-1387 | 2013-11-11 |
| 1992134555 | Susan Stroud | Specialist/Technologist | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 | 2013-11-04 |
| 1245577832 | Steven Porterfield | Specialist/Technologist | 8227 Northwest Blvd, Suite160, Indianapolis, IN 46278-1387 | 2013-01-15 |
| 1790036135 | Margaret Beth Gutierrez | Specialist/Technologist | 8227 Northwest Blvd, Suite # 160, Indianapolis, IN 46278-1387 | 2012-09-25 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1528327624 | Jason Cory Morgan | Specialist/Technologist | 8227 Northwest Blvd, Suite #160, Indianapolis, IN 46278-1387 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050340 | Eric Pittelkow | Surgery | 545 Barnhill Drive Emerson Hall, Suite 232, Indianapolis, IN 46202 | 2016-05-04 |
| 1164654257 | Erin Weber | Surgery | 1801 N Senate Blvd Ste 525, Indianapolis, IN 46202-1253 | 2009-08-21 |
| 1669677142 | Jaime Marie Ranieri | Surgery | 8051 S Emerson Ave Ste 450, Indianapolis, IN 46237-8667 | 2007-06-15 |
| 1770708158 | Kimberly K Short | Surgery | 8455 Clearvista Place, Indianapolis, IN 46256-2419 | 2007-04-13 |
| 1558344697 | William A Wooden | Surgery | 260 Emerson Hall, 545 Barnhill Dr, Indianapolis, IN 46202-5200 | 2005-11-22 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| 1699003400 | Zollman Plastic Surgery | Surgery | 8227 Northwest Blvd, Suite 290, Indianapolis, IN 46278-1387 | 2009-12-07 |
| 1285880997 | Hemant Sabharwal | Surgery | 8051 S Emerson Ave, Suite 480, Indianapolis, IN 46237-8600 | 2008-08-13 |
| 1265697973 | Sidhbh Gallagher | Surgery | 545 Barnhill Dr, Suite 232, Indianapolis, IN 46202-5112 | 2008-07-22 |
| 1982819017 | Indianapolis Institute for Plastic Surgery | Surgery | 8051 S Emerson Ave, Ste 450, Indianapolis, IN 46237-8600 | 2007-05-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
Please comment or provide details below to improve the information on CHARLES WALLACE ZOLLMAN.
| 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.