DIAGNOSTIC RHEUMATOLOGY AND RESEARCH, PC (NPI# 1265457774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265457774 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RHEUMATOLOGY AND RESEARCH, PC |
| Practice Address |
6447 S East St Ste A Indianapolis IN 46227-2119 |
| Practice Telephone | 3178596364 |
| Practice Fax Number | 3178597537 |
| Mailing Telephone | 3178596364 |
| Mailing Fax Number | 3178597537 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. MICHAEL T STACK (OWNER) |
| Authorized Official Telephone | 3178596364 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
61026374A | IN | Other Service Providers |
| Street Address |
6447 S EAST ST STE A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699044347 | Marietta Mae Henry | Specialist | 8211 Scicor Dr, Indianapolis, IN 46214-2942 | 2011-12-27 |
| 1205987278 | Indianapolis Operating Company, LLC | Specialist | 9140 N. Meridian Street, Suite 330, Indianapolis, IN 46260 | 2007-01-16 |
| 1225398621 | Dawes Fretzin Clinical Research Group, LLC | Specialist | 8103 Clearvista Pkwy, Suite 260, Indianapolis, IN 46256-5628 | 2012-05-21 |
| 1609002914 | Jared Ferguson | Specialist | 1481 W 10th St # 11h, Indianapolis, IN 46202-2803 | 2009-06-02 |
| 1588813653 | Katherine Ann Carlson | Specialist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588037816 | Stephen F. Badylak | Specialist | 1150 Kingswood Rd S, West Lafayette, IN 47906-4671 | 2015-11-09 |
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on DIAGNOSTIC RHEUMATOLOGY AND RESEARCH, PC.
| 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.