DR. DOUGLASS STUART HALE (NPI# 1386623254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386623254 |
| Entity Type | Individual |
| Full Name | DR. DOUGLASS STUART HALE |
| Credential | MD |
| Practice Address |
1633 N Capitol Ave Suite 436 Indianapolis IN 46202-1261 |
| Practice Telephone | 3179626600 |
| Practice Fax Number | 3179622049 |
| Mailing Telephone | 3179626600 |
| Mailing Fax Number | 3179622049 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | IN1041382A | IN | Other Service Providers |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
01041382A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100321840 | 05 |
| Street Address |
1633 N CAPITOL AVE SUITE 436 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537946 | Michele L. Saysana | Pediatrics | 1633 N Capitol Ave, Ste 236, Indianapolis, IN 46202-1261 | 2005-06-09 |
| 1740801711 | Eric Joseph Cooper | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2020-05-01 |
| 1922654227 | Allison Garrison | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-08-13 |
| 1811553662 | Heather R Martin | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-17 |
| 1902462286 | Anne Merrylees Dersch | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-13 |
| 1245720986 | Andrew Adams | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-05-17 |
| 1801385059 | Allison Kade Fox | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Methodist Tower, Ste 640, Indianapolis, IN 46202-1281 | 2018-05-03 |
| 1467958785 | Omar Bari | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-04-04 |
| 1487191276 | Angela Rhea Boyle | Nurse Practitioner | 1633 N Capitol Ave, Suite 322, Indianapolis, IN 46202-1261 | 2017-01-31 |
| 1598200156 | Emily Huesgen | Pharmacist | 1633 N Capitol Ave, Suite 300, Indianapolis, IN 46202-1261 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
| 1003880527 | Gita S Singh | Obstetrics & Gynecology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-02-13 |
| 1386639565 | Scott C Boyd | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-14 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.