WANDA SUSIE CLAWSON (NPI# 1225213382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225213382 |
| Entity Type | Individual |
| Full Name | WANDA SUSIE CLAWSON |
| Credential | CST |
| Practice Address |
8433 Harcourt Rd Suite 100 Indianapolis IN 46260-2190 |
| Mailing Address |
8433 Harcourt Rd Suite 300 Indianapolis IN 46260-2190 |
| Practice Telephone | 3175837600 |
| Practice Fax Number | 3175837601 |
| Mailing Telephone | 3175837600 |
| Mailing Fax Number | 3175837601 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
050801 | IN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8433 HARCOURT RD SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953001 | Melanie A Ladine | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2190 | 2005-06-28 |
| 1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
| 1114452604 | Sarah Lawson | Nurse Practitioner | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2017-04-22 |
| 1205224433 | Indianapolis Pediatric Dentistry LLC | Dentist | 8433 Harcourt Rd, Suite 307, Indianapolis, IN 46260-2190 | 2014-12-22 |
| 1457691511 | Felicia D Damon | Specialist/Technologist, Other | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2013-02-26 |
| 1518205509 | Ladine Podiatry, PC | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2196 | 2013-01-25 |
| 1669716528 | Lauren Pothier | Physician Assistant | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2012-11-16 |
| 1316228042 | Stephanie A Grubb | Specialist/Technologist, Other | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-09-08 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| 1073891131 | Charles Assue Brown | Perfusionist | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2011-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063758506 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 3388 Founders Rd, Suite A, Indianapolis, IN 46268-1443 | 2013-01-02 |
| 1801082441 | Kimberly J. Carlson | Spec/Tech, Cardiovascular | 1801 N Senate Blvd, Suite 755, Indianapolis, IN 46202-1228 | 2007-09-18 |
| 1538355243 | Stephen J. Carter | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2007-09-18 |
| 1720288830 | Tanya A. Mcclendon | Spec/Tech, Cardiovascular | 1801 N Senate Blvd, Suite 755, Indianapolis, IN 46202-1228 | 2007-07-18 |
| 1013938687 | Vicki L. Christian | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2006-07-21 |
| 1346261922 | Cynthia S. Rominger | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891081261 | Penny Sue Heavilon | Spec/Tech, Cardiovascular | 1003 Charnwood Pkwy, Beech Grove, IN 46107-3307 | 2011-06-23 |
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on WANDA SUSIE CLAWSON.
| 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.