DR. STEPHEN F EBERWINE (NPI# 1285603886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285603886 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN F EBERWINE |
| Credential | M.D. |
| Practice Address |
6820 Parkdale Pl Suite 200 Indianapolis IN 46254-6601 |
| Practice Telephone | 3173297430 |
| Practice Fax Number | 3173297485 |
| Mailing Telephone | 3173297430 |
| Mailing Fax Number | 3173297485 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01048917A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200248560 | 05 |
| Street Address |
6820 PARKDALE PL SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114375052 | Fatema Sabri Alqudaihi | Dentist | 6820 Parkdale Pl, Indianapolis, IN 46254-6601 | 2016-06-01 |
| 1053561928 | Eagle Creek Dermatology | Dermatology | 6820 Parkdale Pl, Suite 211, Indianapolis, IN 46254-6600 | 2008-09-26 |
| 1164692968 | Wilshire Medical P.C. | Obstetrics & Gynecology | 6820 Parkdale Pl, Ste 212, Indianapolis, IN 46254-6601 | 2008-03-07 |
| 1245408111 | Kelley G Rogers | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1417125386 | Sandra K Vanwye | Nurse Practitioner | 6820 Parkdale Pl, Suite 212, Indianapolis, IN 46254-6601 | 2008-02-13 |
| 1790964914 | Indiana Mothers' Milk Bank, Inc | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 109, Indianapolis, IN 46254-6601 | 2007-10-25 |
| 1184844698 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-04-26 |
| 1376668780 | American Health Network of Indiana, LLC | Psychiatry & Neurology | 6820 Parkdale Pl, Suite 105, Indianapolis, IN 46254-6601 | 2007-03-21 |
| 1992842363 | Samia R Shaikh- Milharcic | Dentist | 6820 Parkdale Pl, Suite 117, Indianapolis, IN 46254-6601 | 2007-02-01 |
| 1669523007 | Dawn A Collins | Marriage & Family Therapist | 6820 Parkdale Pl, Suite 209, Indianapolis, IN 46254-6601 | 2007-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1558547588 | Sarah Ali | Internal Medicine | 8111 S Emerson Ave Ste 102, Indianapolis, IN 46237-8601 | 2008-01-22 |
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
| 1306065446 | Taylor M Ortiz | Internal Medicine | 8111 S. Emerson Ave Suite 101, Indianapolis, IN 46237-8325 | 2007-04-25 |
| 1164567871 | Christopher Alan Slapak | Internal Medicine | The Wishard Hospital Hematology Clinic, 1050 Wishard Blvd, Indianapolis, IN 46202 | 2007-02-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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| 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.