MARY LOU HULSEMAN (NPI# 1356315014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356315014 |
| Entity Type | Individual |
| Full Name | MARY LOU HULSEMAN |
| Credential | MD |
| Practice Address |
9560 E 59th St Indianapolis IN 46216-1010 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176211700 |
| Practice Fax Number | 3176211711 |
| Mailing Telephone | 3176213928 |
| Mailing Fax Number | 3176211711 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01047254A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200201750 | 05 | |
| IN | ANTHEM | 000000344909 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1629 Medical Arts Blvd Ste 200, Anderson, IN 460113454 | 7652985439 |
| Street Address |
9560 E 59TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076530 | Barbara J Walling | Nurse Practitioner | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-01-03 |
| 1144677253 | Michael Burke | Social Worker | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2016-05-18 |
| 1124315924 | Danielle Marie Watkins | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2011-06-30 |
| 1225328503 | Anthony Christopher Arata | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2011-04-07 |
| 1649592882 | Christa M Ford | Social Worker | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2010-02-15 |
| 1710185756 | Stephanie Rutallie | Registered Nurse | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2007-07-10 |
| 1679598171 | Community Hospitals of Indiana Inc | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-07-13 |
| 1992770978 | Vinod A Pallekonda | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-22 |
| 1790758589 | Charles M Platz | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-10 |
| 1003888959 | Robert Kiess Newton | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
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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.